Individual provider Active NPI

Eric Andrew Loboda, RPH

  • Pharmacist
  • Huntley, IL
National Provider Identifier
1225649833
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.302347 Issued in IL
Practice address
9950 N Il Route 47
Huntley, IL 60142-9325
Phone
(847) 669-7590
NPI assigned
Aug 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.302347 IL Primary

Addresses

Primary practice location

9950 N Il Route 47
Huntley, IL 60142-9325

Mailing address

9950 N Il Route 47
Huntley, IL 60142-9325
Phone (847) 669-7590

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.11739@store.walgreens.com

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

LicenseStateTypeSpecialty
051.302347ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1225649833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429325",
            "telephone_number": "847-669-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429325",
            "telephone_number": "847-669-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBODA",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.302347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.11739@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Pharmacist Email Address",
            "address_1": "9950 N Il Route 47",
            "city": "Huntley",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601429325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.