Active NPI
Thomas Lotter Sr., RPH
- Pharmacist
- Oconto, WI
National Provider Identifier
1194155267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8504
- Practice address
- 126 Charles St
Oconto, WI 54153-9446 - Phone
- (920) 834-5251
- Fax
- (920) 834-9801
- NPI assigned
- Nov 26, 2013
- Last updated
- Nov 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 8504 | WI | Primary |
Addresses
Primary practice location
126 Charles St
Oconto, WI 54153-9446
Mailing address
158 S Franklin St
Oconto Falls, WI 54154-1423
Phone (920) 604-0058
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 |
|---|---|---|---|
| 8504 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1194155267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 S FRANKLIN ST",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541423",
"telephone_number": "920-604-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 CHARLES ST",
"city": "OCONTO",
"state": "WI",
"postal_code": "541539446",
"telephone_number": "920-834-5251",
"fax_number": "920-834-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTTER",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oconto, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.