Active NPI
Life Change RX LLC
Doing business as Life Change Pharmacy 1
- Clinic Pharmacy
- Milwaukee, WI
National Provider Identifier
1033008164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- LIFE CHANGE RX LLC
- Doing business as
- Life Change Pharmacy 1
- Practice address
- 1844 S 15TH St Ste 100
Milwaukee, WI 53204-3225 - Phone
- (414) 999-0999
- NPI assigned
- Jul 2, 2025
- Last updated
- May 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed El Sheikh, RPH
- Title
- Owner
- Phone
- (414) 999-0999
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Clinic Pharmacy | 3336C0002X | NU | Primary |
Addresses
Primary practice location
1844 S 15TH St Ste 100
Milwaukee, WI 53204-3225
Mailing address
1844 S 15TH St Ste 100
Milwaukee, WI 53204-3225
Phone (414) 999-0999
Other names 1
- Life Change Pharmacy 1
National Provider Directory
National Provider Directory- Tax ID family
- Life Change Pharmacy 1
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Life Change Pharmacy 1 Long term care
- Long Term Care Pharmacy
- Milwaukee, WI
- NPI 1205544913
Locations
1844 S 15th St
Ste 100
Milwaukee, WI 53204
Phone (414) 999-0999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1033008164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 S 15TH ST STE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532043225",
"telephone_number": "414-999-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 S 15TH ST STE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532043225",
"telephone_number": "414-999-0999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CHANGE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "EL SHEIKH",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-999-0999",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Change Pharmacy 1",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milwaukee, WI
- Life Adult Family Home LLC (Life Adult Family Home)
- Life and Liberty Home Healthcare, LLC
- Life Change RX 1 LLC (Life Change Pharmacy 2)
- Life Change RX 3 LLC (Life Change Pharmacy 3)
- Life Change RX 4 LLC (Life Change Pharmacy 4)
- Life Change RX LLC (Life Change Pharmacy 1 Long term care)
- Life Change RX LLC (Life Change Pharmacy)
- Life Changing Ministries Substance Abuse Services
- Life Connects Home Care LLC
- Life Enhanced Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.