Individual provider Active NPI

Michael Laboon, PHARMD

  • Pharmacist
  • Lighthouse Point, FL
National Provider Identifier
1972932333
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS43201 Issued in FL
Practice address
4900 NE 24TH Ave
Lighthouse Point, FL 33064-7013
Phone
(561) 302-7689
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS43201 FL Primary
Pharmacist 183500000X PU7036 FL

Addresses

Primary practice location

4900 NE 24TH Ave
Lighthouse Point, FL 33064-7013

Mailing address

4900 NE 24TH Ave
Lighthouse Point, FL 33064-7013
Phone (561) 302-7689

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS43201FLMDPharmacist
PU7036FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1972932333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 NE 24TH AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647013",
            "telephone_number": "561-302-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 NE 24TH AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647013",
            "telephone_number": "561-302-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOON",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43201",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU7036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.