Individual provider Active NPI

Grigoriy Lamdan, RPH, PHARMD

  • Pharmacist
  • Sunny Isles Beach, FL
National Provider Identifier
1306466719
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36114 Issued in FL
Practice address
301 174TH St Apt 1403
Sunny Isles Beach, FL 33160-3235
Phone
(305) 894-6774
NPI assigned
Apr 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36114 FL Primary

Addresses

Primary practice location

301 174TH St Apt 1403
Sunny Isles Beach, FL 33160-3235

Mailing address

301 174TH St Apt 1403
Sunny Isles Beach, FL 33160-3235
Phone (305) 894-6774

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
36114FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1306466719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 174TH ST APT 1403",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603235",
            "telephone_number": "305-894-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 174TH ST APT 1403",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603235",
            "telephone_number": "305-894-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMDAN",
        "first_name": "GRIGORIY",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "36114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.