Jim J Kocolas, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

27675 Issued in CA

Practice address

309 Harrow CT
Modesto, CA 95350-1425

Phone

(209) 523-4162

Fax

(209) 522-2409

NPI assigned

Oct 21, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1700161783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HARROW CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501425",
            "telephone_number": "209-523-4162",
            "fax_number": "209-522-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HARROW CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501425",
            "telephone_number": "209-523-4162",
            "fax_number": "209-522-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCOLAS",
        "first_name": "JIM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "27675",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "05824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Knopp
• Byron Andrew Knowles, M.D., PH.D.
• Samuel Ko, M.D.
• Sarah Koch, MD
• Tia Linh Kochis
• Kristin Leigh Koehler
• Bradley D Koehn, DC
• Carly Koester, CPO
• Ker Yong J Koh, M.D.
• Wei Loong Glenn Koh, MD

• Pharmacist in Modesto, CA
• Providers in Modesto, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.