Active NPI
Roberto Pollina, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1528382330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047645
- Practice address
- 7601 13TH Ave
Pollina Pharmacy
Brooklyn, NY 11228-1609 - Phone
- (718) 331-4300
- Fax
- (718) 331-1400
- NPI assigned
- Mar 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047645 | NY | Primary |
Addresses
Primary practice location
7601 13TH Ave
Pollina Pharmacy
Brooklyn, NY 11228-1609
Mailing address
7601 13TH Ave
Pollina Pharmacy
Brooklyn, NY 11228-1609
Phone (718) 331-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02616622 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047645 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Drug Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1528382330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 13TH AVE",
"address_2": "POLLINA PHARMACY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112281609",
"telephone_number": "718-331-4300",
"fax_number": "718-331-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 13TH AVE",
"address_2": "POLLINA PHARMACY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112281609",
"telephone_number": "718-331-4300",
"fax_number": "718-331-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLINA",
"first_name": "ROBERTO",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02616622",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.