Larrye Ellis Loss, PHARMD, MBA, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP-030143-L Issued in PA

Practice address

1 Medimmune Way
101Ord/2236D
Gaithersburg, MD 20878-2204

Phone

(301) 398-0132

NPI assigned

Jan 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1659889194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHIPMUNK LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634708",
            "telephone_number": "610-565-8479",
            "fax_number": "610-565-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDIMMUNE WAY",
            "address_2": "101ORD/2236D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782204",
            "telephone_number": "301-398-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSS",
        "first_name": "LARRYE",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP-030143-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RP-030143-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.