Active NPI
Andrea Nicole Floyd, PHARMD
- Pharmacist
- Lynwood, CA
National Provider Identifier
1376996025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74574
- Practice address
- 3628 E Imperial Hwy Ste 102
Lynwood, CA 90262-2600 - Phone
- (310) 637-2006
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- 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 | 74574 | CA | Primary |
Addresses
Primary practice location
3628 E Imperial Hwy Ste 102
Lynwood, CA 90262-2600
Mailing address
7340 Timberline Way
Stone Mountain, GA 30087-5332
Phone (404) 909-0405
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 |
|---|---|---|---|
| 74574 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairveola Banks | Past | Accepting new patients | |
| Fairveola Banks | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Lynwood, CA
- NPI 1285621813
-
- Long Term Care Pharmacy
- Lynwood, CA
- NPI 1366266744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1376996025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 TIMBERLINE WAY",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300875332",
"telephone_number": "404-909-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 E IMPERIAL HWY STE 102",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622600",
"telephone_number": "310-637-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "ANDREA",
"middle_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.