Individual provider Active NPI

Bassem Atef Lawendy

  • Pharmacist
  • Fern Park, FL
National Provider Identifier
1881377976
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS65693 Issued in FL
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

LicenseStateTypeSpecialty
PS65693FLMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS65693 FL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.