LIFELINE PHARMACY 1 LLC (NPI# 1336775527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336775527 |
| Entity Type | Organization |
| Organization Name | LIFELINE PHARMACY 1 LLC |
| Practice Address |
2500 W Trenton Road Suite 12 Edinburg TX 78539 |
| Mailing Address |
3551 Oviedo Brownsville TX 78520-5057 |
| Practice Telephone | 9562555515 |
| Mailing Telephone | 8452837474 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | MOBEEN AHMED (MANAGING MEMBER) |
| Authorized Official Telephone | 8452837474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Lifeline Pharmacy 1 | Doing Business As Name - Organization |
| Street Address |
2500 W TRENTON ROAD SUITE 12 |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| 1932678646 | Divine Pharmacy LLC | Pharmacy | 3220 S Sugar Rd, Edinburg, TX 78539 | 2018-11-26 |
| Find all providers in zip 78539 | ||||
| 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 |
|---|---|---|---|---|
| 1346849643 | Rgvmeds Pharmacy LLC | Pharmacy | 2606 E Richardson Rd, Edinburg, TX 78542 | 2020-10-19 |
| 1932678646 | Divine Pharmacy LLC | Pharmacy | 3220 S Sugar Rd, Edinburg, TX 78539 | 2018-11-26 |
| 1962850552 | Rubens Rx LLC | Pharmacy | 615 E University Dr Ste 1, Edinburg, TX 78539-3635 | 2016-05-25 |
| 1194156778 | Inverness Apothecary - South Texas | Pharmacy | 5009 S Mccoll Rd Ste A, Edinburg, TX 78539-8014 | 2013-12-06 |
| 1255612776 | Quick Penny Investments, LLC | Pharmacy | 668 Jackson Road, Edinburg, TX 78539 | 2011-08-30 |
| 1841505161 | Walgreen Co | Pharmacy | 1418 E University Dr, Edinburg, TX 78539-3710 | 2010-08-11 |
| 1851606107 | Rio Geeta LLC | Pharmacy | 2002 W University Dr Ste 4, Edinburg, TX 78539-2930 | 2010-08-11 |
| 1689804551 | St. Marie Clinic, P.a. Pharmacy | Pharmacy | 1905 E. Monte Cristo Road Ste. C, Edinburg, TX 78541-0333 | 2009-07-24 |
| 1710192372 | Ragl Medical Investments LLC | Pharmacy | 3000 N Business 281, Edinburg, TX 78541-7162 | 2007-05-14 |
| 1588876478 | Santa Maria Pharmacy, Inc. | Pharmacy | 1222 W Monte Cristo Rd, Edinburg, TX 78541-3873 | 2007-05-04 |
| Find all providers in EDINBURG | ||||
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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.