Individual provider Active NPI

Salah Eddin Hicham Loulou, RPH

  • Pharmacist
  • Edmonds, WA
National Provider Identifier
1295227742
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60819903 Issued in WA
Practice address
23028 100TH Ave W
Edmonds, WA 98020-5080
Phone
(425) 774-4916
NPI assigned
May 31, 2018
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60819903 WA Primary

Addresses

Primary practice location

23028 100TH Ave W
Edmonds, WA 98020-5080

Mailing address

18321 52ND Ave W Apt 180
Lynnwood, WA 98037-4413
Phone (206) 602-7575

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
PH60819903WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1295227742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18321 52ND AVE W APT 180",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374413",
            "telephone_number": "206-602-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23028 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205080",
            "telephone_number": "425-774-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOULOU",
        "first_name": "SALAH EDDIN",
        "middle_name": "HICHAM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60819903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.