Lifespring Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LIFESPRING PHARMACY INC

Practice address

1415 Stenton Ave
Philadelphia, PA 19141-2011

Phone

(215) 309-0190

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Victor Nwoko, PHARMDNPI 1447640701

Title

Manager

Phone

(215) 309-0190

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Victor Okechukwu Nwoko, PHARM.D

  • Pharmacist
  • Philadelphia, PA
  • NPI 1447640701
  NPD Authorized official

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1083373955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412011",
            "telephone_number": "215-309-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412011",
            "telephone_number": "215-309-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "NWOKO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-309-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "PP483052",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PHARMACY",
            "affiliation": "N",
            "endpointDescription": "PHARMACY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1415 Stenton Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191412011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sarah Anne Liffmann

• Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.