Active NPI
Juan Eduardo Loy
- Pharmacist
- Tyler, TX
National Provider Identifier
1003580176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68788
- Practice address
- 1105 E Gentry Pkwy
Tyler, TX 75702-4715 - Phone
- (903) 535-9467
- NPI assigned
- Aug 3, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68788 | TX | Primary |
Addresses
Primary practice location
1105 E Gentry Pkwy
Tyler, TX 75702-4715
Mailing address
1105 E Gentry Pkwy
Tyler, TX 75702-4715
Phone (903) 535-9467
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 |
|---|---|---|---|
| 68788 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1003580176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 E GENTRY PKWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757024715",
"telephone_number": "903-535-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 E GENTRY PKWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757024715",
"telephone_number": "903-535-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOY",
"first_name": "JUAN",
"middle_name": "EDUARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.