Active NPI
Jay Lewis Lederman
- Pharmacist
- Palmdale, CA
National Provider Identifier
1497025365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25886
- Practice address
- 3027 Rancho Vista Blvd
Palmdale, CA 93551-3582 - Phone
- (661) 265-9741
- NPI assigned
- Jan 9, 2012
- 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 | 25886 | CA | Primary |
Addresses
Primary practice location
3027 Rancho Vista Blvd
Palmdale, CA 93551-3582
Mailing address
26717 Wyatt LN
Stevenson Ranch, CA 91381-1001
Phone (661) 259-8102
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1497025365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26717 WYATT LN",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913811001",
"telephone_number": "661-259-8102",
"fax_number": "661-259-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 RANCHO VISTA BLVD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513582",
"telephone_number": "661-265-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "JAY",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "25886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.