Jonathan Blaine Lopez

Primary specialty

PharmacistTaxonomy code 183500000X

License

.017781 Issued in LA

Practice address

1725 W Sale Rd
Lake Charles, LA 70605-2521

Phone

(337) 474-7001

Fax

(337) 474-7088

NPI assigned

Apr 24, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1154941631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W SALE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052521",
            "telephone_number": "337-474-7001",
            "fax_number": "337-474-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W SALE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052521",
            "telephone_number": "337-474-7001",
            "fax_number": "337-474-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JONATHAN",
        "middle_name": "BLAINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": ".017781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ihp@carmichaelsmed.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "CARMICHAEL'S CASHWAY PHARMACY INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Company email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1725 W Sale Rd",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706052521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley H. Loewer, M.D.
• Jessica Lominac, NP
• Violet Marie Long, DC
• Dakota Loosemore
• Frank W Lopez, MD
• Lindsay Lopez
• Louisiana Chiropractic and Wellness
• Louisiana CVS Pharmacy LLC (CVS Pharmacy #16738)
• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy # 5455)
• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy # 266)

• Pharmacist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.