Active NPI
Bryan Katuin, PHARMD
- Pharmacist
- Rocklin, CA
National Provider Identifier
1710413737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59698
- Practice address
- 3251 Stanford Ranch Rd
Rocklin, CA 95765-5553 - Phone
- (916) 435-8711
- Fax
- (916) 435-9019
- NPI assigned
- May 11, 2017
- 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 | 59698 | CA | Primary |
Addresses
Primary practice location
3251 Stanford Ranch Rd
Rocklin, CA 95765-5553
Mailing address
3251 Stanford Ranch Rd
Rocklin, CA 95765-5553
Phone (916) 435-8711
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59698 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1710413737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 STANFORD RANCH RD",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655553",
"telephone_number": "916-435-8711",
"fax_number": "916-435-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 STANFORD RANCH RD",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655553",
"telephone_number": "916-435-8711",
"fax_number": "916-435-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATUIN",
"first_name": "BRYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.