Individual provider Active NPI

Jeffry Paul Lannigan, PHARM D

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1194919191
Registry record updated Sep 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS21748 Issued in FL
Practice address
6015 Benjamin Rd
Suite #302
Tampa, FL 33634-5179
Phone
(813) 290-6200
Fax
(813) 283-3051
NPI assigned
Sep 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS21748 FL Primary

Addresses

Primary practice location

6015 Benjamin Rd
Suite #302
Tampa, FL 33634-5179

Mailing address

13315 73Rd Ave
Seminole, FL 33776-4220
Phone (813) 290-6200

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

LicenseStateTypeSpecialty
PS21748FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188691200000",
    "number": "1194919191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 73RD AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337764220",
            "telephone_number": "813-290-6200",
            "fax_number": "813-283-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 BENJAMIN RD",
            "address_2": "SUITE #302",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345179",
            "telephone_number": "813-290-6200",
            "fax_number": "813-283-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNIGAN",
        "first_name": "JEFFRY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-02",
        "last_updated": "2007-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS21748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2007; 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.