LIFE SPECIALTY PHARMACY, INC. (NPI# 1720548118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720548118 |
| Entity Type | Organization |
| Organization Name | LIFE SPECIALTY PHARMACY, INC. |
| Practice Address |
949 W. Kearney St. Suite 107 Mesquite TX 75149 |
| Mailing Address |
18770 Lbj Fwy Ste 200 Mesquite TX 75150-6407 |
| Practice Telephone | 9726815959 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | SHAJI DANIEL (DIRECTOR) |
| Authorized Official Telephone | 9726815959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 150116 | 05 |
| Street Address |
949 W. KEARNEY ST. SUITE 107 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| 1306292651 | Smiles for All Dental Pllc | Health Maintenance Organization | 301 W Grubb Dr, Mesquite, TX 75149 | 2016-05-05 |
| Find all providers in zip 75149 | ||||
| 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 |
|---|---|---|---|---|
| 1780217158 | Prime Healthcare Services Mesquite LLC | Pharmacy | 1011 N Galloway Ave # Cl120, Mesquite, TX 75149-2433 | 2020-02-13 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1477819266 | Prodigious Industries LLC | Pharmacy | 502 W Kearney St Ste 900, Mesquite, TX 75149-3477 | 2012-04-05 |
| 1134412000 | Meridian Pharamcy Group At Galloway, Inc | Pharmacy | 2698 N Galloway Ave Ste 108, Mesquite, TX 75150-6390 | 2011-05-25 |
| 1356427819 | Rls Supermarkets LLC | Pharmacy | 4414 Gus Thomasson Rd, Mesquite, TX 75150-2232 | 2006-10-27 |
| 1477657278 | Cvs Pharmacy Inc | Pharmacy | 500 N Galloway Ave, Suite 2, Mesquite, TX 75149-3419 | 2006-09-12 |
| 1558376582 | Walgreen Co | Pharmacy | 4435 Gus Thomasson Rd, Mesquite, TX 75150-2231 | 2006-07-29 |
| 1083099485 | Paragon Specialty Pharmacy, LLC | Pharmacy | 2920 Motley Dr, Suite 800, Mesquite, TX 75150 | 2015-07-27 |
| 1871870204 | My Pharmacy | Pharmacy | 2920 Motley Dr, Suite 200, Mesquite, TX 75150-3471 | 2011-11-14 |
| 1649575515 | Galloway Pharmacy | Pharmacy | 910 N Galloway Ave, Suite 100, Mesquite, TX 75149-2409 | 2011-01-24 |
| Find all providers in MESQUITE | ||||
Please comment or provide details below to improve the information on LIFE SPECIALTY PHARMACY, INC..
| 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.