Active NPI
Dennis Loiselle
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Grand Blanc, MI
National Provider Identifier
1447625199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302022510
- Practice address
- 6160 S Saginaw Rd
Grand Blanc, MI 48439-7026 - Phone
- (810) 603-9702
- Fax
- (810) 603-9704
- NPI assigned
- Dec 7, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302022510 | MI | Primary |
Addresses
Primary practice location
6160 S Saginaw Rd
Grand Blanc, MI 48439-7026
Mailing address
6160 S Saginaw Rd
Grand Blanc, MI 48439-7026
Phone (810) 603-9702
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302022510 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1447625199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 S SAGINAW RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397026",
"telephone_number": "810-603-9702",
"fax_number": "810-603-9704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 S SAGINAW RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397026",
"telephone_number": "810-603-9702",
"fax_number": "810-603-9704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOISELLE",
"first_name": "DENNIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302022510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.