Individual provider Active NPI

Dimeji T Lawal, B.SC PHARMACY

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Davie, FL
National Provider Identifier
1568603942
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PU6302 Issued in FL
Practice address
14988 SW 33Rd St
Davie, FL 33331-2710
Phone
(954) 629-5921
Fax
(954) 424-1571
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PU6302 FL Primary

Addresses

Primary practice location

14988 SW 33Rd St
Davie, FL 33331-2710

Mailing address

14988 SW 33Rd St
Davie, FL 33331-2710
Phone (954) 629-5921

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

LicenseStateTypeSpecialty
PU6302FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1568603942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14988 SW 33RD ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312710",
            "telephone_number": "954-629-5921",
            "fax_number": "954-424-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14988 SW 33RD ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312710",
            "telephone_number": "954-629-5921",
            "fax_number": "954-424-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWAL",
        "first_name": "DIMEJI",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "B.SC PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PU6302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.