Active NPI
Robert Lor, PHARM.D.
- Pharmacist
- Fair Oaks, CA
National Provider Identifier
1205387602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75721
- Practice address
- 4934 San Juan Ave Apt 81
Fair Oaks, CA 95628-4636 - Phone
- (715) 497-2566
- NPI assigned
- Oct 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75721 | CA | Primary |
| Pharmacist | 183500000X | 18513 | WI |
Addresses
Primary practice location
4934 San Juan Ave Apt 81
Fair Oaks, CA 95628-4636
Mailing address
4934 San Juan Ave Apt 81
Fair Oaks, CA 95628-4636
Phone (715) 497-2566
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 |
|---|---|---|---|
| 75721 | CA | MD | Pharmacist |
| 18513 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1205387602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4934 SAN JUAN AVE APT 81",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956284636",
"telephone_number": "715-497-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4934 SAN JUAN AVE APT 81",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956284636",
"telephone_number": "715-497-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOR",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75721",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.