Active NPI
Leonid Markov, PHARMD
- Pharmacist
- Fort Lauderdale, FL
National Provider Identifier
1154793909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18612
- Practice address
- 3540 NW 56TH St Ste 204
Fort Lauderdale, FL 33309-2260 - Phone
- (877) 367-3479
- Fax
- (833) 347-9329
- NPI assigned
- Oct 20, 2015
- Last updated
- Oct 1, 2024
- 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 | 183500000X | 18612 | NV | Primary |
Addresses
Primary practice location
3540 NW 56TH St Ste 204
Fort Lauderdale, FL 33309-2260
Mailing address
11001 S Eastern Ave
Henderson, NV 89052-2954
Phone (702) 948-8355
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 |
|---|---|---|---|
| 18612 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Pharmacy Source, Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3540 NW 56th St
Ste 204
Fort Lauderdale, FL 33309
Phone (877) 367-3479
Organizations & group practices 3
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": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1154793909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 S EASTERN AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522954",
"telephone_number": "702-948-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 NW 56TH ST STE 204",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333092260",
"telephone_number": "877-367-3479",
"fax_number": "833-347-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOV",
"first_name": "LEONID",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-20",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.