Todd Barrow Logan, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS52135 Issued in FL

Practice address

4603 Okeechobee Blvd Ste 118
West Palm Beach, FL 33417-4636

Phone

(561) 268-2552

Fax

(561) 328-7586

NPI assigned

Dec 3, 2020

Sex

Male

Sole proprietor

No

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

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.

• Omrx,LLC

  • Community/Retail Pharmacy
  • West Palm Beach, FL
  • NPI 1417470816
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1114522380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 HAZEL AVE APT C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102607",
            "telephone_number": "561-329-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 OKEECHOBEE BLVD STE 118",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174636",
            "telephone_number": "561-268-2552",
            "fax_number": "561-328-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "TODD",
        "middle_name": "BARROW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS52135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Llyon Medical, LLC
• Kelly Lo, CAA
• Liana Liz Lobelo-Guerra, MA
• Rosalie Lober, PH.D.
• Joni Loehrig, LMHC
• Blandine Loizeau
• Lola & Saul Kramer Senior Services
• Lola & Saul Kramer Senior Services Agency
• Loretta Ann Lombardi Rauenhorst
• Cameron Lombardi, DPT, CSCS

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

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

Verify at the official NPI Registry.