Active NPI
Lori A Paulsen
- Pharmacist
- North Liberty, IA
National Provider Identifier
1093925570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17607
- Practice address
- 655 Liberty Way
North Liberty, IA 52317 - Phone
- (888) 823-0923
- Fax
- (866) 486-7248
- NPI assigned
- May 23, 2007
- Sex
- Female
- 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 | 17607 | IA | Primary |
Addresses
Primary practice location
655 Liberty Way
North Liberty, IA 52317
Mailing address
1305 Pheasant Valley St
Iowa City, IA 52246-8652
Phone (319) 338-8319
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 |
|---|---|---|---|
| 17607 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1093925570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 PHEASANT VALLEY ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522468652",
"telephone_number": "319-338-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 LIBERTY WAY",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "52317",
"telephone_number": "888-823-0923",
"fax_number": "866-486-7248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "LORI",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.