Lexann Pharmacy & Wellness Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00737500 Issued in NJ

Legal business name

LEXANN PHARMACY & WELLNESS CENTER

Doing business as

Lexann Pharmacy & Wellness Center

Practice address

1885 Springfield Ave
Maplewood, NJ 07040-3419

Phone

(973) 763-0010

Fax

(973) 763-0009

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Alexander OwolabiNPI 1629212196

Title

Owner

Phone

(973) 678-1700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lexann Pharmacy & Wellness Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Olusoji Owolabi

  • Pharmacist
  • Clifton, NJ
  • NPI 1629212196
  NPD Authorized official

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1780082339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403419",
            "telephone_number": "973-763-0010",
            "fax_number": "973-763-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403419",
            "telephone_number": "973-763-0010",
            "fax_number": "973-763-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXANN PHARMACY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "OWOLABI",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-678-1700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00737500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148686",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexann Pharmacy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sylvia S Lee, M D
• Lee's Developmental Services
• Christina Leneus
• Leon Dick, MD PA
• Laurie Beth Levine, PHD
• Liberty Medical Care Services LLC
• Linckage Logistics Solutions, LLC
• Neal Howard Litinger, PH.D.
• Matthew Lobosco, M.D.
• John S Loconte, PHD

• Community/Retail Pharmacy in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.