Individual provider Active NPI

Lance T Platt Jr., PHARM.D.

  • Pharmacist
  • Fort Dodge, IA
National Provider Identifier
1457725251
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22656 Issued in IA
Practice address
2910 1St Ave S
Fort Dodge, IA 50501-2972
Phone
(515) 573-7202
Fax
(515) 398-0019
NPI assigned
Nov 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 22656 IA Primary

Addresses

Primary practice location

2910 1St Ave S
Fort Dodge, IA 50501-2972

Mailing address

2910 1St Ave S
Fort Dodge, IA 50501-2972
Phone (515) 573-7202

Other practice location 1

5775 Sunnybrook Dr
Sioux City, IA 51106-4247
Phone (712) 274-8854

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
22656IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1457725251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012972",
            "telephone_number": "515-573-7202",
            "fax_number": "515-398-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012972",
            "telephone_number": "515-573-7202",
            "fax_number": "515-398-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5775 Sunnybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511064247",
            "country_code": "US",
            "telephone_number": "712-274-8854",
            "fax_number": "712-212-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLATT",
        "first_name": "LANCE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "22656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.