Active NPI
Son Nhut Loi, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dodge City, KS
National Provider Identifier
1124651757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1-107781
- Practice address
- 1700 N 14TH Ave
Dodge City, KS 67801-3413 - Phone
- (620) 225-6140
- NPI assigned
- Feb 21, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 2018028008 | MO | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S023360 | AZ | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 1-107781 | KS | Primary |
Addresses
Primary practice location
1700 N 14TH Ave
Dodge City, KS 67801-3413
Mailing address
1700 N 14TH Ave
Dodge City, KS 67801-3413
Phone (620) 225-6140
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023360 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 1-107781 | KS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 2018028008 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Dillon Pharmacy #001
- Community/Retail Pharmacy
- Dodge City, KS
- NPI 1376583195
-
dba King Soopers Pharmacy #153
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1124651757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N 14TH AVE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678013413",
"telephone_number": "620-225-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N 14TH AVE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678013413",
"telephone_number": "620-225-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOI",
"first_name": "SON",
"middle_name": "NHUT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MO",
"license": "2018028008",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S023360",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KS",
"license": "1-107781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
- Nuvia Jeanette Lemus-Diaz, DDS
- Life in Motion Orthotic & Prosthetic Center, Inc.
- Leslie Lomeli Lima, LSCSW
- Limeaide Therapy and Consulting, LLC (The Therapy Spot)
- Caitlin Mary Lingg, OD
- Riley Lopp, PHARMD
- Jeremy L Luthi, DPT
- Samantha Madera
- Victoria Lynn Malcor-Johnson, M.S. CCC-SLP
- Billy D Manning, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.