LIFELINE PHARMACY, INC (NPI# 1508391343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508391343 |
| Entity Type | Organization |
| Organization Name | LIFELINE PHARMACY, INC |
| Other Organization Name | LIFELINE PHARMACY, INC |
| Practice Address |
455 E Main St Ste 4 East Dundee IL 60118-1523 |
| Practice Telephone | 8474500900 |
| Practice Fax Number | 8474500920 |
| Mailing Telephone | 8474500900 |
| Mailing Fax Number | 8474500920 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | SHITAL MANEK (OWNER) |
| Authorized Official Telephone | 6307777800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
054020245 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2169083 | 01 |
| Other Name | Type Code |
|---|---|
| Lifeline Pharmacy, Inc | Doing Business As Name - Organization |
| Street Address |
455 E MAIN ST STE 4 |
| City | EAST DUNDEE |
| State | IL |
| Zip Code | 60118-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291411 | Pro Dental Care Ltd | Clinic/Center | 1053 Main Street, Sleepy Hollow, IL 60118 | 2018-07-18 |
| 1104333640 | Natasha Ann Radnovich | Behavioral Analyst | 533 S 5th St, West Dundee, IL 60118 | 2018-01-05 |
| 1588105639 | Rabije Hajdini | Counselor | 528 Market Loop # 4b, West Dundee, IL 60118 | 2017-03-08 |
| 1942752548 | Suhark Healthcare and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 600 Spring Hill Ring Rd Ste 109, West Dundee, IL 60118 | 2016-10-29 |
| 1386043867 | Jennifer Pate | Physical Therapist | 117 S 6th St, West Dundee, IL 60118 | 2014-08-20 |
| 1255755096 | Associates In Behavioral Health Care | Counselor | 783 8th Street, Century Plaza, West Dundee, IL 60118 | 2014-02-14 |
| 1003043290 | Castle Ventures, Inc. | In Home Supportive Care | 513 W. Main St., W. Dundee, IL 60118 | 2009-06-16 |
| 1114199965 | Brian Scott Vence | Dentist | 700 Willow Lane, Suite G, West Dundee, IL 60118 | 2008-04-01 |
| 1871703595 | Pallavi Gangupantula | Physical Therapist | 600 Spring Hill Ring Road,suite 118, West Dundee, IL 60118 | 2007-05-23 |
| 1104965219 | Barbra Mccoy Getz | Social Worker | 213 Jamestowne, Sleepy Hollow, IL 60118 | 2007-02-05 |
| Find all providers in zip 60118 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1447783915 | Bienestar Pharmacy IIi, Inc | Pharmacy | 2359 S Western Ave, Suite 100, Chicago, IL 60608-3837 | 2017-04-11 |
| 1851639371 | Health Delivery Management, LLC | Pharmacy | 430 Warrenville Road, Lisle, IL 60532 | 2013-01-17 |
| 1821239419 | Lehan Drugs Inc | Pharmacy | 1850 Gateway Dr. Suite A, Sycamore, IL 60178 | 2009-03-12 |
| 1760656987 | Mtm Services | Pharmacy | 1524 S Sangamon St Unit 512, Chicago, IL 60608-2268 | 2008-04-18 |
| 1023137528 | John H Stroger Jr. Hospital Pharmacy of Cook County | Pharmacy | 1901 W Harrison St Rm Ll170, Chicago, IL 60612-3714 | 2007-03-28 |
| 1588781298 | Cook County | Pharmacy | 500 E 51st Street, Room 2008 and 2050, Chicago, IL 60615 | 2007-03-26 |
| 1447390125 | Board of Trustees of The University of Illinois | Pharmacy | 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 | 2007-02-08 |
| 1982791240 | Weber Medical Clinic Ltd | Pharmacy | 1200 N East Street, Olney, IL 62450-2499 | 2006-10-06 |
| 1093818148 | Altgeld Garden Drug Co. | Pharmacy | 974 E 133rd St, Chicago, IL 60827-1428 | 2006-09-06 |
| 1649270125 | American Pharmacy Inc | Pharmacy | 2200 W Roosevelt Rd, Broadview, IL 60155-3888 | 2005-07-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST DUNDEE |
| Zip Code | 60118 |
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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.