Active NPI
Jason Loutsenhizer
- Pharmacist
- Waverly, OH
National Provider Identifier
1538752043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03233633
- Practice address
- 100 Dawn LN
Waverly, OH 45690-9138 - Phone
- (740) 947-6320
- NPI assigned
- Feb 16, 2021
- 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 | 03233633 | OH | Primary |
Addresses
Primary practice location
100 Dawn LN
Waverly, OH 45690-9138
Mailing address
182 Falcon Dr
Chillicothe, OH 45601-1000
Phone (724) 448-3122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jloutsenhizer@adena.org | Direct |
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 |
|---|---|---|---|
| 03233633 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1538752043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 FALCON DR",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456011000",
"telephone_number": "724-448-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DAWN LN",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909138",
"telephone_number": "740-947-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUTSENHIZER",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03233633",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jloutsenhizer@adena.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Dawn Ln",
"city": "Waverly",
"state": "OH",
"country_code": "US",
"postal_code": "456909138",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.