LIFEMED PHARMACY LLC (NPI# 1447440250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447440250 |
Entity Type | Organization |
Organization Name | LIFEMED PHARMACY LLC |
Other Organization Name | LIFEMED PHARMACY LLC |
Practice Address |
447 Doughty Blvd Inwood NY 11096-1345 |
Mailing Address |
4577 N Nob Hill Rd #209 Sunrise FL 33351-4712 |
Practice Telephone | 8473503446 |
Practice Fax Number | 9547481170 |
Mailing Telephone | 8473503446 |
Mailing Fax Number | 9547481170 |
Enumeration Date | 2007-07-27 |
Last Update Date | 2015-09-09 |
Authorized Official Name | JENNIFER THOMAS (CONTROLLER) |
Authorized Official Telephone | 8473503446 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
028485 | NY | Suppliers |
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
0000983 | CT | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2069494 | 01 | |
NY | 2907904 | 05 |
Other Name | Type Code |
---|---|
LIFEMED PHARMACY LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467717892 | Lifemed Pharmacy LLC | Pharmacy | 1249 Ridgeway Ave Ste Q, Rochester, NY 14615-3761 | 2012-07-11 |
Street Address |
447 DOUGHTY BLVD |
City | INWOOD |
State | NY |
Zip Code | 11096-1345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033527056 | Jeanna Shim | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2014-07-23 |
1679993638 | Matthew Jacob | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2014-04-17 |
1942622543 | Lois Tsui | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2014-01-16 |
1699106559 | Jennifer Yoo | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2013-12-03 |
1518218338 | Jennifer Lee | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2012-09-20 |
1487939468 | Brian C Tsang | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2011-10-20 |
1821313164 | Liza Mehta | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2010-03-30 |
1548582083 | Ruben Antonio Navarro | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096 | 2010-02-25 |
1669794665 | Jin Xiao Chen | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2010-02-18 |
1164744108 | John Joseph Virginio | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2010-02-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568973592 | Andreadenise Jacqueline Gray | Behavior Technician | 600 Bayview Ave Ste 309, Inwood, NY 11096 | 2017-10-17 |
1407118557 | Julie Ann Ackerman | Specialist | 188 Donahue Ave, Inwood, NY 11096 | 2012-06-14 |
1164706362 | Ilene Rona Isler | Speech-Language Pathologist | 1 Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-10-06 |
1790064582 | Sharon Rae Solomon-fried Cander | Social Worker | #1 Donahue Ave, Public School Number Two, Inwood, NY 11096 | 2011-08-10 |
1548567217 | Stephanie Hazel Campbell | Speech-Language Pathologist | Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-02-16 |
1659678472 | Anthony Thomas Procaccino Jr. | Psychologist | 1 Donahue Ave. Number Two Elementary School, Lawrence Public Schools, Inwood, NY 11096 | 2011-02-14 |
1760792089 | Janice Patricia Mcphaul-guerrier | Licensed Practical Nurse | 87 Wanser Avenue, Lawrence Public School # 4, Inwood, NY 11096 | 2010-10-20 |
1376857979 | Hilary E. Shein Rothman | Physical Therapist | 90 Henry Street, Inwood, NY 11096 | 2010-08-06 |
1144335712 | Carlos A Menera | Obstetrics & Gynecology | 270 Doughty Blvd, Inwood, NY 11096 | 2006-08-21 |
1881619708 | Inwood Community Health Center | Clinic/Center | 270 Lawrence Ave., Inwood, NY 11096 | 2006-07-13 |
Find all providers in zip 11096 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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] |
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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.