NPI Code Detail JSON Logo

1023316239 NPI number — LAWRENCE CALVIN ERVIN II PHARMD

NPI Number: 1023316239
Health Care Provider/Practitioner: LAWRENCE CALVIN ERVIN II PHARMD

Information about “1023316239” NPI (LAWRENCE CALVIN ERVIN II PHARMD) exists in 1023316239 in HTML format HTML  |  1023316239 in plain Text format TXT  |  1023316239 in PDF (Portable Document Format) PDF  |  1023316239 in an XML format XML  formats.

NPI Number : 1023316239 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023316239",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ERVIN",
    "FirstName": "LAWRENCE",
    "MiddleName": "CALVIN",
    "NamePrefix": "DR.",
    "NameSuffix": "II",
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "723 BRAMBLING WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STOCKBRIDGE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30281-9042",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-687-2285",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 INDEPENDENCE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39710-5300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-434-3019",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/11/2011",
    "LastUpdateDate": "08/31/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "49666",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.