LBG Holdings LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PH30115 Issued in FL

Legal business name

LBG HOLDINGS LLC

Practice address

2864 W Main St
Leesburg, FL 34748-4631

Phone

(352) 315-1200

Fax

(352) 315-1201

NPI assigned

Nov 8, 2012

Organization subpart

No

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

Authorized official

Name

Larry Howard

Title

Pharmacy Manager

Phone

(407) 929-2552

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• One Good Pharmacist Doing business as

Tax ID family

Fertility Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fertility Pharmacy

  • Pharmacist
  • Winter Springs, FL
  • NPI 1265699946
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fertility Pharmacy

  • Pharmacist
  • Winter Springs, FL
  • NPI 1265699946
  NPPES parent name

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1386998623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621255",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327621255",
            "telephone_number": "352-315-1200",
            "fax_number": "352-315-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484631",
            "telephone_number": "352-315-1200",
            "fax_number": "352-315-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBG HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "407-929-2552"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "PH30115",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008795700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Good Pharmacist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry Hannifin Latka, ARNP
• Latoya S. Brewer
• Wendy Ann Lavezzi, M.D.
• Rhonda Lawrence
• Daphney Lazarre
• Lco Group PA
• Jane Leboeuf
• Stephany Leclair, MSN, APRN, A-GNP-C
• Lee Anne Byrne Counseling, LLC
• Lee D Tatro DDS

• Clinic Pharmacy in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Clinic Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.