Individual provider Active NPI

Lawrence Jay Pizik, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Plantation, FL
National Provider Identifier
1700516853
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PS16932 Issued in FL
Practice address
6950 Cypress Rd Ste 105
Plantation, FL 33317-2361
Phone
(954) 316-5054
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 PS16932 FL Primary

Addresses

Primary practice location

6950 Cypress Rd Ste 105
Plantation, FL 33317-2361

Mailing address

3300 NW 91St Way
Hollywood, FL 33024-8521
Phone (954) 371-6122

Other identifiers 1

IdentifierTypeStateIssuer
PS16932OtherFLSTATE LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS16932FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Intramed Inc CurrentSince Oct 2, 2022 Accepting new patients
MDP Products and Services Current Accepting new patients

Locations

6950 Cypress Rd
Ste 105
Plantation, FL 33317
Phone (954) 316-5054

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1700516853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 91ST WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248521",
            "telephone_number": "954-371-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 CYPRESS RD STE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172361",
            "telephone_number": "954-316-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZIK",
        "first_name": "LAWRENCE",
        "middle_name": "JAY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS16932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS16932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.