Active NPI
Robert Lee Lovitt, PHARMACIST
- Pharmacist
- Hayden, ID
National Provider Identifier
1477845162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5293
- Practice address
- 13332 E Hayden Lake Rd
Hayden, ID 83835-7240 - Phone
- (208) 660-0133
- NPI assigned
- May 12, 2011
- 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 | 183500000X | P5293 | ID | Primary |
Addresses
Primary practice location
13332 E Hayden Lake Rd
Hayden, ID 83835-7240
Mailing address
43 W. Prairie Shopping Center
Hayden, ID 83835
Phone (208) 772-2774
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 |
|---|---|---|---|
| P5293 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1477845162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 W. PRAIRIE SHOPPING CENTER",
"city": "HAYDEN",
"state": "ID",
"postal_code": "83835",
"telephone_number": "208-772-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13332 E HAYDEN LAKE RD",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838357240",
"telephone_number": "208-660-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVITT",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.