Individual provider Active NPI

Amy Lezama, PHARM D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Tampa, FL
National Provider Identifier
1508076340
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PS37128 Issued in FL
Practice address
13515 Lake Terrace LN
Tampa, FL 33637-1003
Phone
(813) 998-8000
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS37128 FL Primary
Pharmacist 183500000X PS37128 FL

Addresses

Primary practice location

13515 Lake Terrace LN
Tampa, FL 33637-1003

Mailing address

3890 Van Dyke Rd
Lutz, FL 33548-4800
Phone (813) 269-2814

Other practice location 1

3890 Van Dyke Rd
Lutz, FL 33548-4800
Phone (813) 269-2814

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL VHA

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
PS37128FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1508076340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484800",
            "telephone_number": "813-269-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 LAKE TERRACE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371003",
            "telephone_number": "813-998-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3890 Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335484800",
            "country_code": "US",
            "telephone_number": "813-269-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEZAMA",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS37128",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "VHA",
            "affiliation": "N",
            "address_1": "13515 Lake Terrace Ln",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336371003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.