Individual provider Active NPI

Lennon Lowell Land, PHARMD

  • Pharmacist
  • Pensacola, FL
National Provider Identifier
1548245681
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS34118 Issued in FL
Practice address
1749 E Nine Mile Rd
Pensacola, FL 32514-5729
Phone
(850) 479-3496
Fax
(850) 466-4634
NPI assigned
Dec 13, 2005
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 PS34118 FL Primary

Addresses

Primary practice location

1749 E Nine Mile Rd
Pensacola, FL 32514-5729

Mailing address

1749 E Nine Mile Rd
Pensacola, FL 32514-5729
Phone (850) 479-3496

Other practice location 1

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8223

Other practice location 2

4531 N Davis Hwy
Pensacola, FL 32503-2770
Phone (850) 475-4483

Other identifiers 2

IdentifierTypeStateIssuer
225394OtherFLNABP PERSONAL REGISTRATION
5736218OtherFLNABP PRACTICE LOCATION

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
PS34118FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1548245681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145729",
            "telephone_number": "850-479-3496",
            "fax_number": "850-466-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145729",
            "telephone_number": "850-479-3496",
            "fax_number": "850-466-4634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146050",
            "country_code": "US",
            "telephone_number": "850-474-8223",
            "fax_number": "850-474-8281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4531 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032770",
            "country_code": "US",
            "telephone_number": "850-475-4483",
            "fax_number": "850-475-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAND",
        "first_name": "LENNON",
        "middle_name": "LOWELL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP PERSONAL REGISTRATION",
            "identifier": "225394",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP PRACTICE LOCATION",
            "identifier": "5736218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.