Active NPI
Anthony James Loogman
- Pharmacist
- Modesto, CA
National Provider Identifier
1821564410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79652
- Practice address
- 3019 Floyd Ave
Modesto, CA 95355 - Phone
- (209) 551-4867
- NPI assigned
- Oct 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 79652 | CA | Primary |
Addresses
Primary practice location
3019 Floyd Ave
Modesto, CA 95355
Mailing address
1549 Michele Way
Escalon, CA 95320-9571
Phone (209) 918-2864
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 |
|---|---|---|---|
| 79652 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1821564410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 MICHELE WAY",
"city": "ESCALON",
"state": "CA",
"postal_code": "953209571",
"telephone_number": "209-918-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 FLOYD AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-551-4867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOGMAN",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
- Longs Drug Stores California LLC (CVS Pharmacy #09884)
- Longs Drug Stores California LLC (CVS Pharmacy #09171)
- Longs Drug Stores California LLC (CVS Pharmacy #03077)
- Patrick A Lonowski, O.D.
- Richard Kevin Lonsinger Jr.
- Victoria Anne Looney, RN
- Samantha Kehaulani Lopes
- Karina Jazmin Lopez Alvarez
- Vanessa E Lopez Asaah, LCSW
- Lopez Dental Corporation (Modesto Smiles Dentistry Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.