David Lay

Key facts

NPI

1053917385

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

PS43334 (FL)

Practice address

13675 SW 88TH St
Miami, FL 33186-1324

Phone

(305) 385-1035

Fax

(305) 386-4321

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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

• Holiday CVS LLC Pharmacy · Miami, FL · NPI 1407950306
  NPD
• Holiday CVS L.L.C. Pharmacy · Wesley Chapel, FL · NPI 1770467466
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2020.

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1053917385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15204 SW 12TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942693",
            "telephone_number": "786-306-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13675 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861324",
            "telephone_number": "305-385-1035",
            "fax_number": "305-386-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAY",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paul Gerard Layden, PH.D.
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All providers in Miami, FL · Pharmacist in Florida