Active NPI
Edward Scott Lozano, PHARMD
- Nutrition Support Pharmacist
- Chicago, IL
National Provider Identifier
1063877611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 051032369
- Practice address
- 5841 South Maryland Ave
University of Chicago
Chicago, IL 60637-1465 - Phone
- (773) 834-2879
- Fax
- (773) 702-6972
- NPI assigned
- Dec 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 051032369 | IL | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051032369 | IL |
Addresses
Primary practice location
5841 South Maryland Ave
University of Chicago
Chicago, IL 60637-1465
Mailing address
2571 Sun Valley Rd
Lisle, IL 60532-3434
Phone (630) 251-2307
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051032369 | IL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1063877611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2571 SUN VALLEY RD",
"city": "LISLE",
"state": "IL",
"postal_code": "605323434",
"telephone_number": "630-251-2307",
"fax_number": "773-792-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 SOUTH MARYLAND AVE",
"address_2": "UNIVERSITY OF CHICAGO",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371465",
"telephone_number": "773-834-2879",
"fax_number": "773-702-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO",
"first_name": "EDWARD",
"middle_name": "SCOTT",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-28",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "IL",
"license": "051032369",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051032369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.