Lori Ann Slocum, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP046173 Issued in PA

Practice address

821 S Main St Ste 1
Old Forge, PA 18518-1497

Phone

(570) 457-3200

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JL Slocum LLC

  dba Old Forge Pharmacy

  • Community/Retail Pharmacy
  • Old Forge, PA
  • NPI 1306212444

  Pharmacist

  NPD Authorized official
• JL Slocum LLC

  • Long Term Care Pharmacy
  • Old Forge, PA
  • NPI 1811878101
  NPD Authorized official
• Old Forge Wellness LLC

  • Internal Medicine Physician
  • Old Forge, PA
  • NPI 1649045451
  NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1952186140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST STE 1",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181497",
            "telephone_number": "570-457-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST STE 1",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181497",
            "telephone_number": "570-457-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP046173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Sallavanti, D.O.
• Megan Sallavanti, M.S. CCC-SLP
• Marianne J Santioni, DO
• Sandra Scavo, PHARMACIST
• Sharon Palushock, M.D., P.C.
• Tommy Souriyavong, ATC,LAT
• William Allen Stang Jr., A.T.C.
• Susquehanna Valley Mobility Services, Inc.
• Sloan A Svadeba-Cummings, M.S., LPC, NCC
• Bridget Elizabeth Thomas, PHARM D

• Pharmacist in Old Forge, PA
• Providers in Old Forge, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.