Active NPI
Anil Babu Lingam, RPH
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1437755030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40729
- Practice address
- 1190 Dunn Ave
Jacksonville, FL 32218-4832 - Phone
- (904) 751-4346
- NPI assigned
- Dec 9, 2020
- Last updated
- Dec 9, 2020
- 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 | PS40729 | FL | Primary |
Addresses
Primary practice location
1190 Dunn Ave
Jacksonville, FL 32218-4832
Mailing address
1190 Dunn Ave
Jacksonville, FL 32218-4832
Other practice location 1
1190 Dunn Ave
Jacksonville, FL 32218-4832
Phone (904) 751-4346
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Anil.lingam@cvshealth.com |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40729 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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, 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": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1437755030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 DUNN AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 DUNN AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184832",
"telephone_number": "904-751-4346"
}
],
"practiceLocations": [
{
"address_1": "1190 Dunn Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322184832",
"country_code": "US",
"telephone_number": "904-751-4346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINGAM",
"first_name": "ANIL BABU",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40729",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Anil.lingam@cvshealth.com",
"affiliation": "N",
"address_1": "1190 Dunn Ave",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322184832",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.