Active NPI
Terry Wayne Pollard
- Pharmacist
- Kodiak, AK
National Provider Identifier
1982956603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1264
- Practice address
- 2911 Mill Bay Rd
Kodiak, AK 99615-7809 - Phone
- (907) 942-5172
- NPI assigned
- Oct 4, 2012
- 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 | 1264 | AK | Primary |
Addresses
Primary practice location
2911 Mill Bay Rd
Kodiak, AK 99615-7809
Mailing address
PO Box 8523
Kodiak, AK 99615-8523
Phone (907) 942-5172
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 |
|---|---|---|---|
| 1264 | AK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1982956603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8523",
"city": "KODIAK",
"state": "AK",
"postal_code": "996158523",
"telephone_number": "907-942-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 MILL BAY RD",
"city": "KODIAK",
"state": "AK",
"postal_code": "996157809",
"telephone_number": "907-942-5172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "TERRY",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
- Pillars of Care Assisted Living, LLC
- Pkimc Home Health
- Elise Pletnikoff, MD
- Judy Pletnikoff
- Bettye Plyler, LPN
- Heather Mary Preece, MHSC, RD, LD
- James M Price, LPC, CDC II, MAC
- Providence Health & Services - Washington
- Providence Health & Services - Washington
- Providence Health & Services -Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.