Active NPI
Roger S. Klotz, R.PH., BCNSP, FASCP
- Pharmacotherapy Pharmacist
- Pomona, CA
National Provider Identifier
1801898069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RPH 38533
- Practice address
- 309 E 2ND St
Pomona, CA 91766-1854 - Phone
- (714) 974-8858
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | RPH 38533 | CA | |
| Pharmacotherapy Pharmacist | 1835P1200X | RPH 38533 | CA | Primary |
| Pharmacist | 183500000X | RPH 38533 | CA |
Addresses
Primary practice location
309 E 2ND St
Pomona, CA 91766-1854
Mailing address
PO Box 17265
Anaheim, CA 92817-7265
Phone (714) 998-3807
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 |
|---|---|---|---|
| RPH 38533 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282953600000",
"number": "1801898069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17265",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928177265",
"telephone_number": "714-998-3807",
"fax_number": "714-974-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "714-974-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZ",
"first_name": "ROGER",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "R.PH., BCNSP, FASCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2010-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "CA",
"license": "RPH 38533",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "RPH 38533",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 38533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.