Active NPI
Julia Ellen Stolarik, CPHT
- Pharmacy Technician
- Roseville, CA
National Provider Identifier
1780145961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TCH180121
- Practice address
- 1030 Pleasant Grove Blvd
Roseville, CA 95678 - Phone
- (916) 780-4733
- NPI assigned
- Mar 29, 2019
- Last updated
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TCH180121 | CA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1030 Pleasant Grove Blvd
Roseville, CA 95678
Mailing address
1030 Pleasant Grove Blvd
Roseville, CA 95678-6117
Phone (916) 780-4733
Other practice location 1
1358 Blue Oaks Blvd
Roseville, CA 95678-7040
Phone (916) 676-0488
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cvs.com | LONGS DRUG STORES CALIFORNIA LLC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCH180121 | CA | MD | Pharmacy Technician |
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, 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": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1780145961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 PLEASANT GROVE BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956786117",
"telephone_number": "916-780-4733",
"fax_number": "916-780-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PLEASANT GROVE BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-780-4733"
}
],
"practiceLocations": [
{
"address_1": "1358 Blue Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956787040",
"country_code": "US",
"telephone_number": "916-676-0488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOLARIK",
"first_name": "JULIA",
"middle_name": "ELLEN",
"name_prefix": "Miss",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "TCH180121",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cvs.com",
"affiliation": "Y",
"affiliationName": "LONGS DRUG STORES CALIFORNIA LLC",
"address_1": "1030 Pleasant Grove Blvd",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "95678",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.