Active NPI
Mark A Loesell, RPH
- Pharmacist
- Marysville, WA
National Provider Identifier
1831492347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009838
- Practice address
- 16616 Twin Lakes Ave
Marysville, WA 98271-4701 - Phone
- (360) 652-4539
- Fax
- (360) 652-4536
- NPI assigned
- Dec 6, 2010
- 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 | PH00009838 | WA | Primary |
Addresses
Primary practice location
16616 Twin Lakes Ave
Marysville, WA 98271-4701
Mailing address
7129 130TH St SE
Snohomish, WA 98296-7698
Phone (425) 379-2435
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009838 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1831492347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7129 130TH ST SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982967698",
"telephone_number": "425-379-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16616 TWIN LAKES AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982714701",
"telephone_number": "360-652-4539",
"fax_number": "360-652-4536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOESELL",
"first_name": "MARK",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.