Morrell Jerome Lavender Jr.

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

81495 Issued in CA

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Phone

(619) 532-7560

NPI assigned

Jan 31, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Morrell Jerome Leghorn Jr. Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1264896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1760714828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 CROSSROADS ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151840",
            "telephone_number": "619-415-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "MORRELL",
        "middle_name": "JEROME",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-31",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "81495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORRELL",
            "last_name": "LEGHORN",
            "middle_name": "JEROME",
            "suffix": "JR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• German Lavenant Jr., MD
• Lavender Moon Midwifery
• Haley Lavender, M.S.
• Jamie Dee Lavender, M.D.
• Morrell J Lavender
• Alex Bronson Laventure, MD
• Ruth Laverde
• Julia B Laverdiere, NP
• Steve Laverson, M.D.
• Chamindra G. Laverty, M.D.

• Pharmacy Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.