Individual provider Active NPI

David Joseph Lynch, RPH

  • Pharmacist
  • Delray Beach, FL
National Provider Identifier
1841833852
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS54380 Issued in FL
Practice address
3155 S Federal Hwy
Delray Beach, FL 33483-3221
Phone
(561) 450-3021
Fax
(561) 450-3022
NPI assigned
Oct 22, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038120 NY
Pharmacist 183500000X PS54380 FL Primary

Addresses

Primary practice location

3155 S Federal Hwy
Delray Beach, FL 33483-3221

Mailing address

12855 Coral Lakes Dr
Boynton Beach, FL 33437-4182
Phone (612) 250-4486

Other identifiers 2

IdentifierTypeStateIssuer
PS54380OtherFLPHARMACIST LICENSE
038120OtherNYPHARMACIST LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL d0l02a7.s02406.us@wal-mart.com
Direct Messaging Address d0l02a7.s02406.us@wal-mart.com Direct

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
PS54380FLMDPharmacist
038120NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP PastSince Oct 27, 2019 Accepting new patients
Wal-Mart Stores East LP PastSince Oct 27, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1841833852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 CORAL LAKES DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374182",
            "telephone_number": "612-250-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 S FEDERAL HWY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833221",
            "telephone_number": "561-450-3021",
            "fax_number": "561-450-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038120",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PS54380",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "038120",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "d0l02a7.s02406.us@wal-mart.com",
            "affiliation": "N",
            "address_1": "3155 S Federal Hwy",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334833221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "d0l02a7.s02406.us@wal-mart.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3155 S Federal Hwy",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334833221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.