Active NPI
Richard Loutzenhiser
- Pharmacist
- Winter Haven, FL
National Provider Identifier
1942801287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS14562
- Practice address
- 1215 Old Helena Rd
Winter Haven, FL 33884-2102 - Phone
- (863) 899-9904
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 3, 2020
- 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 | PS14562 | FL | Primary |
Addresses
Primary practice location
1215 Old Helena Rd
Winter Haven, FL 33884-2102
Mailing address
1215 Old Helena Rd
Winter Haven, FL 33884-2102
Phone (863) 899-9904
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 |
|---|---|---|---|
| PS14562 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1942801287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 OLD HELENA RD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338842102",
"telephone_number": "863-899-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 OLD HELENA RD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338842102",
"telephone_number": "863-899-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUTZENHISER",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS14562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.