Lauden Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY43209 Issued in CA

Legal business name

LAUDEN PHARMACY, INC.

Practice address

1820 41St Ave
Suite F
Capitola, CA 95010-2516

Phone

(831) 462-9880

Fax

(831) 462-9998

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mehrdad Reyhani, RPH

Title

Owner

Phone

(831) 462-9880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1710012919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 41ST AVE",
            "address_2": "SUITE F",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102516",
            "telephone_number": "831-462-9880",
            "fax_number": "831-462-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 41ST AVE",
            "address_2": "SUITE F",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102516",
            "telephone_number": "831-462-9880",
            "fax_number": "831-462-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDEN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "REYHANI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-462-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY43209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Krimmer, LMFT
• Robert Laurence Kronisch, M.D.
• Elizabeth Kunselman, N.P.
• Lauren Labinger, LMFT
• Jeremy Lampel
• Janay Laws
• Stephan Vu Le, PHARMD
• Tina Le, PHARMD
• Truc Le, RPH
• Raymond Louis Ledoux, PH.D.

• Pharmacy in Capitola, CA
• Providers in Capitola, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.