Active NPI
Bassem Atef Lawendy
- Pharmacist
- Fern Park, FL
National Provider Identifier
1881377976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS65693
- Practice address
- 7815 S US Highway 17/92
Fern Park, FL 32730-2261 - Phone
- (407) 331-0968
- NPI assigned
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS65693 | FL | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS65693 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7815 S US Highway 17/92
Fern Park, FL 32730-2261
Mailing address
7815 S US Highway 17/92
Fern Park, FL 32730-2261
Phone (407) 331-0968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2023.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1881377976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 S US HIGHWAY 17/92",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302261",
"telephone_number": "407-331-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7815 S US HIGHWAY 17/92",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302261",
"telephone_number": "407-331-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWENDY",
"first_name": "BASSEM",
"middle_name": "ATEF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS65693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fern Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.