Active NPI
Carmen Felicia Lander, PS
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Orlando, FL
National Provider Identifier
1629351002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS041646
- Practice address
- 13989 Landstar Blvd
Orlando, FL 32824-5501 - Phone
- (407) 888-9868
- Fax
- (407) 888-9895
- NPI assigned
- Sep 22, 2011
- Last updated
- Dec 27, 2022
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS041646 | FL | Primary |
Addresses
Primary practice location
13989 Landstar Blvd
Orlando, FL 32824-5501
Mailing address
13989 Landstar Blvd
Orlando, FL 32824-5501
Phone (407) 888-9868
Other names 1
- Mrs. Carmen Felicia Lander
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS041646 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
13989 Landstar Blvd
Orlando, FL 32824
Phone (407) 888-9868
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1629351002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13989 LANDSTAR BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328245501",
"telephone_number": "407-888-9868",
"fax_number": "407-888-9895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13989 LANDSTAR BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328245501",
"telephone_number": "407-888-9868",
"fax_number": "407-888-9895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDER",
"first_name": "CARMEN",
"middle_name": "FELICIA",
"name_prefix": "Mrs.",
"credential": "PS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS041646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "LANDER",
"middle_name": "FELICIA",
"prefix": "MRS.",
"credential": "PS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.