Active NPI
David Joseph Lynch, RPH
- Pharmacist
- Delray Beach, FL
National Provider Identifier
1841833852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54380
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS54380 | Other | FL | PHARMACIST LICENSE |
| 038120 | Other | NY | PHARMACIST LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS54380 | FL | MD | Pharmacist |
| 038120 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | 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.
-
dba Wal-Mart Pharmacy 10-2406
- Community/Retail Pharmacy
- Delray Beach, FL
- NPI 1962832386
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.