Radiant Lane LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RADIANT LANE LLC

Practice address

1207 S Dixie Hwy W Apt 308
Pompano Beach, FL 33060-8076

Phone

(561) 222-0213

NPI assigned

Sep 11, 2026

Organization subpart

No

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

Authorized official

Name

Tellis Thompson

Title

Manager

Phone

(561) 222-0213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1083524813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S DIXIE HWY W APT 308",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608076",
            "telephone_number": "561-222-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S DIXIE HWY W APT 308",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608076",
            "telephone_number": "561-222-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LANE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TELLIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-222-0213"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.