Michael Lee Landgren

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

059693 Issued in NY

Practice address

416 Windsor Hwy
New Windsor, NY 12553-6982

Phone

(845) 562-4010

NPI assigned

Aug 14, 2020

Sex

Male

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

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 and National Provider Directory roles.

• Walgreen Co

  dba Walgreens #12067

  • Pharmacy
  • Vails Gate, NY
  • NPI 1750664975
  NPD

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1144831868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WINDSOR HWY",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536982",
            "telephone_number": "845-562-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 WINDSOR HWY",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536982",
            "telephone_number": "845-562-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGREN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NY",
            "license": "059693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jonathon Kunz, PMHNP
• Rossella La Torre, LMHC
• Cheryl Mindi Lachant, MSED
• Laura Lamica, LMT
• Nancy Lamon-Defigueroa, M.S. CCC-SLP
• Patricia Susan Lane-Pennimpede, L-CSW-R
• Rebecca Lang
• Roxanne Lang, LMSW
• Dallas Crystal Largar, MS, OTR/L
• Lori Larson, RBT

• Ambulatory Care Pharmacist in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Ambulatory Care Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.