Active NPI
Ivan Lo
- Pharmacist
- Fargo, ND
National Provider Identifier
1891271334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH6054
- Practice address
- 706 38TH St N Ste a
Fargo, ND 58102-2953 - Phone
- (888) 558-9941
- NPI assigned
- Jul 18, 2018
- 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 | RPH6054 | ND | Primary |
Addresses
Primary practice location
706 38TH St N Ste a
Fargo, ND 58102-2953
Mailing address
706 38TH St N Ste a
Fargo, ND 58102-2953
Phone (888) 558-9941
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 |
|---|---|---|---|
| RPH6054 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1891271334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 38TH ST N STE A",
"city": "FARGO",
"state": "ND",
"postal_code": "581022953",
"telephone_number": "888-558-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 38TH ST N STE A",
"city": "FARGO",
"state": "ND",
"postal_code": "581022953",
"telephone_number": "888-558-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "IVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH6054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.