Active NPI
Lajan Kurien
- Pharmacist
- Hollywood, FL
National Provider Identifier
1477279339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36610
- Practice address
- 4599 Sheridan St
Hollywood, FL 33021-3515 - Phone
- (954) 961-7520
- Fax
- (954) 961-3164
- NPI assigned
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | PS36610 | FL | Primary |
Addresses
Primary practice location
4599 Sheridan St
Hollywood, FL 33021-3515
Mailing address
4599 Sheridan St
Hollywood, FL 33021-3515
Phone (954) 961-7520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36610 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1477279339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4599 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213515",
"telephone_number": "954-961-7520",
"fax_number": "954-961-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4599 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213515",
"telephone_number": "954-961-7520",
"fax_number": "954-961-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIEN",
"first_name": "LAJAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.