NPIMap

Organization Active NPI

Pharmacy Practice Group

  • Pharmacist
  • Pomona, CA
National Provider Identifier
1952548257
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38533 Issued in CA
Legal business name
PHARMACY PRACTICE GROUP
Practice address
309 E 2ND St
HPC 133
Pomona, CA 91766-1854
Phone
(909) 706-3528
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Prof. Roger Klotz, R.PH.
Title
Assistant Professor of Pharmacy
Phone
(909) 469-5498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 38533 CA Primary

Addresses

Primary practice location

309 E 2ND St
HPC 133
Pomona, CA 91766-1854

Mailing address

309 E 2ND St
HPC 133
Pomona, CA 91766-1854
Phone (909) 706-3528

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Progressive7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 E 2nd St
#133
Pomona, CA 91766
Phone (909) 706-3528

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1952548257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "address_2": "HPC 133",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-706-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "address_2": "HPC 133",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-706-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PRACTICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "KLOTZ",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR OF PHARMACY",
        "authorized_official_telephone_number": "909-469-5498",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "38533",
            "primary": true
        }
    ],
    "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 Oct 26, 2012; 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.