Medbridge Lane LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MEDBRIDGE LANE LLC

Practice address

602 Rodeo Dr
Largo, FL 33771-2782

Phone

(656) 666-1001

NPI assigned

Jun 30, 2026

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdullah Abumazen

Title

Manager

Phone

(656) 666-1001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1679490718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 RODEO DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712782",
            "telephone_number": "656-666-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 RODEO DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712782",
            "telephone_number": "656-666-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDBRIDGE LANE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "ABUMAZEN",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "656-666-1001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Largo, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.