Active NPI
Stacie Marie Moltzan Loescher, PHARMD
- Pharmacist
- Itasca, IL
National Provider Identifier
1497241848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.301181
- Practice address
- 1 Pierce PL FL 10
Itasca, IL 60143-1253 - Phone
- (815) 464-5050
- NPI assigned
- Jul 9, 2018
- Last updated
- Oct 6, 2024
- Sex
- Female
- 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 | 051.301181 | IL | Primary |
Addresses
Primary practice location
1 Pierce PL FL 10
Itasca, IL 60143-1253
Mailing address
21164 S la Grange Rd
Frankfort, IL 60423-2010
Phone (815) 464-5050
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 |
|---|---|---|---|
| 051.301181 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728172800000",
"number": "1497241848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21164 S LA GRANGE RD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232010",
"telephone_number": "815-464-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PIERCE PL FL 10",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431253",
"telephone_number": "815-464-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOESCHER",
"first_name": "STACIE",
"middle_name": "MARIE MOLTZAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2024-10-06",
"certification_date": "2024-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.301181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.