Rodel Raymundo, PHARMD

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PS50908 Issued in FL

Practice address

100 Technology Park Ste 158
Lake Mary, FL 32746-6205

Phone

(866) 842-2147

NPI assigned

Apr 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Neovance Specialty Pharmacy LLC

  • Pharmacy
  • Lake Mary, FL
  • NPI 1780811125
  NPD
• Neovance Specialty Pharmacy LLC

  • Specialty Pharmacy
  • Memphis, TN
  • NPI 1326983297
  NPD (past)

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1740809722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY PARK STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY PARK STE 158",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466205",
            "telephone_number": "866-842-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMUNDO",
        "first_name": "RODEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PS50908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diwya U Ranjit, M.D
• Preeti A Rathod, PHARM.D.
• Saira Munaver Rattansi, PT,DPT
• Laura Raulerson
• Deja Lee Ray
• Rebecca Francis
• Abigail Paige Record
• Recover, Inc
• Rhonda Rector
• Stephen M Reed, MD

• Specialty Pharmacy in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Specialty Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.