Glenn Loughlin

Primary specialty

PharmacistTaxonomy code 183500000X

License

41066 Issued in CA

Practice address

2100 Dr MLK Jr Pkwy
Chico, CA 95928-4422

Phone

(530) 342-8892

NPI assigned

May 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Raleys

  • Community/Retail Pharmacy
  • Galt, CA
  • NPI 1174633820
  NPD (past)
• Raleys

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1609986363
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1194137513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DR MLK JR PKWY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284422",
            "telephone_number": "530-342-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DR MLK JR PKWY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284422",
            "telephone_number": "530-342-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHLIN",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "1127",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "41066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoua Lor, B.A.
• Shoua Lor, ACSW
• Los Robles Radiologic Associates
• Jacqueline Marie Losi-Sasaki, M.D.
• Laura Loudermilk, FNP
• Frank Lourenco, PHARMD
• Andrew David Low
• Mary Kendall Lowe
• Scott Lowe, DO
• Katy Luallen, MFT

• Pharmacist in Chico, CA
• Providers in Chico, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.