NPI Code Detail JSON Logo

1669148136 NPI number — NICOLE LYNN LOSH PHARMD

NPI Number: 1669148136
Health Care Provider/Practitioner: NICOLE LYNN LOSH PHARMD

Information about “1669148136” NPI (NICOLE LYNN LOSH PHARMD) exists in 1669148136 in HTML format HTML  |  1669148136 in plain Text format TXT  |  1669148136 in PDF (Portable Document Format) PDF  |  1669148136 in an XML format XML  formats.

NPI Number : 1669148136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669148136",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOSH",
    "FirstName": "NICOLE",
    "MiddleName": "LYNN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KEMLER",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "327 N WASHINGTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VAN WERT",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45891-1258",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "419-203-9944",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3801 COLDWATER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WAYNE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46805-1101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "260-470-6361",
    "PracticeLocationAddressFaxNumber": "260-470-6371",
    "EnumerationDate": "08/17/2021",
    "LastUpdateDate": "07/18/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "26028368A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.