Active NPI
Lisa Noelle Loosmore, PHARMD
- Pharmacist
- Irvine, CA
National Provider Identifier
1174072821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45517
- Practice address
- 17972 Sky Park Cir Ste F
Irvine, CA 92614-4400 - Phone
- (949) 483-8363
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11108 | NV | |
| Pharmacist | 183500000X | 45517 | CA | Primary |
Addresses
Primary practice location
17972 Sky Park Cir Ste F
Irvine, CA 92614-4400
Mailing address
3900 Country Club Dr
Long Beach, CA 90807-3104
Phone (562) 225-5053
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 |
|---|---|---|---|
| 45517 | CA | MD | General Practice Dentistry |
| 11108 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremeds Pharmacy Inc | Past | Accepting new patients | |
| Caremeds Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Irvine, CA
- NPI 1205133790
-
- Long Term Care Pharmacy
- Irvine, CA
- NPI 1831879568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1174072821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 COUNTRY CLUB DR",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073104",
"telephone_number": "562-225-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17972 SKY PARK CIR STE F",
"city": "IRVINE",
"state": "CA",
"postal_code": "926144400",
"telephone_number": "949-483-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOSMORE",
"first_name": "LISA",
"middle_name": "NOELLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "11108",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.