Leavitt Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22020 Issued in FL

Legal business name

LEAVITT PHARMACY, LLC

Practice address

187 Sabal Palm Dr
Suite 102
Longwood, FL 32779-2595

Phone

(407) 478-2799

Fax

(407) 478-2798

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

David Morell

Title

Treasurer / Secretary

Phone

(407) 875-2080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629006291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR",
            "address_2": "SUITE 180",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517233",
            "telephone_number": "407-875-2080",
            "fax_number": "407-875-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 SABAL PALM DR",
            "address_2": "SUITE 102",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792595",
            "telephone_number": "407-478-2799",
            "fax_number": "407-478-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVITT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "TREASURER / SECRETARY",
        "authorized_official_telephone_number": "407-875-2080"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esau Laurencin, MD
• Lawrence D Kelley
• Marieli Lazu Lozada
• Leaf Medical Group
• Imari Christopher Leandre
• Clodeen Marie Leblanc-Moriniere, BEHAVIOR TECHNICIAN
• Hyerim Lee, BCBA
• Al Delos Santos Legaspi, PT
• Leigh S. Rosenberg, Psy.D. PLLC
• Sherelle Nymia Lemons

• Community/Retail Pharmacy in Longwood, FL
• Providers in Longwood, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.