LIFELINE RX LLC (NPI# 1275939746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275939746 |
| Entity Type | Organization |
| Organization Name | LIFELINE RX LLC |
| Practice Address |
5408 Park Ave West New York NJ 07093-3517 |
| Practice Telephone | 2016248015 |
| Practice Fax Number | 2016248016 |
| Mailing Telephone | 2016248015 |
| Mailing Fax Number | 2016248016 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | MALKIEL DAVYDOV (MANAGING MEMBER) |
| Authorized Official Telephone | 2016248015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00737000 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148812 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245899855 | Lifeline Rx LLC | Durable Medical Equipment & Medical Supplies | 5408 Park Ave, West New York, NJ 07093-3517 | 2019-06-07 |
| 1467018952 | Lifeline Rx LLC | Pharmacy | 5408 Park Ave, West New York, NJ 07093-3517 | 2019-05-10 |
| 1356653448 | Lifeline Rx LLC | Pharmacy | 38 Grant St, Walden, NY 12586-1850 | 2010-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIFELINE RX LLC | 38 Grant Street, Walden, New York 12586 |
| Street Address |
5408 PARK AVE |
| City | WEST NEW YORK |
| State | NJ |
| Zip Code | 07093-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245899855 | Lifeline Rx LLC | Durable Medical Equipment & Medical Supplies | 5408 Park Ave, West New York, NJ 07093-3517 | 2019-06-07 |
| 1467018952 | Lifeline Rx LLC | Pharmacy | 5408 Park Ave, West New York, NJ 07093-3517 | 2019-05-10 |
| 1245749365 | Aisha Javaid Cheema | Pharmacist | 5408 Park Ave, West New York, NJ 07093-3517 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745225 | Denmari Berberabe | Physical Therapist | 6000 John F. Kennedy Boulevard, West New York, NJ 07093 | 2020-09-16 |
| 1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
| 1598374050 | Benita Strickland | Physical Therapy Assistant | 6000 John F. Kennedy Blvd, West New York, NJ 07093 | 2020-07-30 |
| 1053964809 | Santvana Vyas | Dentist | 6020 Broadway, Fl#2, West New York, NJ 07093 | 2019-07-22 |
| 1043875552 | Natalya V Fryazin | Counselor | 444 60th St., 2nd Flr, West New York, NJ 07093 | 2019-05-09 |
| 1558844209 | Merrideth Kennedy | Occupational Therapist | 6612-18 Bergenline Ave, West New York, NJ 07093 | 2018-09-10 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1265889695 | Bilingual Counseling Services, LLC | Community/Behavioral Health | 574 67th Street, Apt 2, West New York, NJ 07093 | 2016-05-16 |
| 1083079297 | Dino Pascual | Registered Nurse | 25 Port Imperial Avenue, Apt. 111, West New York, NJ 07093 | 2015-12-15 |
| 1992179469 | Diane A Doucet | Behavioral Analyst | 140 65th St, Apt 1, West New York, NJ 07093 | 2015-11-21 |
| Find all providers in zip 07093 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598847436 | Pan American Pharmacy | Pharmacy | 232 60th St, West New York, NJ 07093-2824 | 2006-10-19 |
| 1558385138 | Ohm Pharmacy, LLC | Pharmacy | 5001 Bergenline Ave, West New York, NJ 07093-5600 | 2006-07-27 |
| 1871897868 | Hudson Pharmacy | Pharmacy | 5313 Hudson Ave, West New York, NJ 07093-2045 | 2011-01-05 |
| 1023312477 | M & M Pharmacy Corp | Pharmacy | 6419 Park Ave, West New York, NJ 07093-4109 | 2010-12-28 |
| 1053636043 | Rhn 6200, Inc. | Pharmacy | 6200 Bergenline Ave, West New York, NJ 07093-1619 | 2010-04-01 |
| 1063515328 | Shri Ganeshji Pharmacy, Inc. | Pharmacy | 5005 Bergenline Ave, West New York, NJ 07093-5563 | 2006-09-05 |
| 1821107954 | Mulkay Drugs Inc | Pharmacy | 6601 Broadway, West New York, NJ 07093-3249 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
| 1255939492 | Jj Pharmacy | Pharmacy | 119 Broad Ave, Palisades Park, NJ 07650-1441 | 2020-10-10 |
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1578170569 | New Jersery Cvs Pharmacy LLC | Pharmacy | 750 Memorial Pkwy, Phillipsburg, NJ 08865-1679 | 2020-09-24 |
| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST NEW YORK |
| Zip Code | 07093 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.