Active NPI
Andre' Pollard
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1902456106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 13700 Sutton Park Dr N Apt 1313
Jacksonville, FL 32224-2277 - Phone
- (904) 551-4926
- NPI assigned
- Sep 19, 2019
- Last updated
- Sep 19, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
13700 Sutton Park Dr N Apt 1313
Jacksonville, FL 32224-2277
Mailing address
13700 Sutton Park Dr N Apt 1313
Jacksonville, FL 32224-2277
Phone (610) 636-3250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116915932 | Other | FL | D&B |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1902456106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13700 SUTTON PARK DR N APT 1313",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242277",
"telephone_number": "610-636-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13700 SUTTON PARK DR N APT 1313",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242277",
"telephone_number": "904-551-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "ANDRE'",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D&B",
"identifier": "116915932",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.