Lifetime RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIFETIME RX INC

Practice address

3222 Steinway St
Astoria, NY 11103-4006

Phone

(718) 889-6866

Fax

(718) 889-7385

NPI assigned

Mar 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dani KandovNPI 1881106680

Title

Owner

Phone

(718) 889-6866

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dani Kandov

  • Pharmacist
  • Rego Park, NY
  • NPI 1881106680
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1023719903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-889-6866",
            "fax_number": "718-889-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-889-6866",
            "fax_number": "718-889-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "KANDOV",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-889-6866"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD",
            "identifier": "040045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessy Liburd, RPA
• Monique Hollmann Licerio
• Jonathan Steven Lien, PHARMD
• Ruby J. Lien, M.D.
• Steven Thai Lien, RPH
• Jessica Duggan Light
• Amy Lin
• Dao Feng Lin, PA-C
• Hannah Xu Lin, MD
• Jie Mei Lin, PHARM D.

• Community/Retail Pharmacy in Astoria, NY
• Providers in Astoria, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.