Active NPI
Todd Barrow Logan, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- West Palm Beach, FL
National Provider Identifier
1114522380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS52135
- 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
- Last updated
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS52135 | FL | Primary |
Addresses
Primary practice location
4603 Okeechobee Blvd Ste 118
West Palm Beach, FL 33417-4636
Mailing address
4318 Hazel Ave Apt C
Palm Beach Gardens, FL 33410-2607
Phone (561) 329-2986
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS52135 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omrx,LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
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": []
}
Other providers in West Palm Beach, FL
Sources for this page
- 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.