Lifeline Institutional Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

021730800 Issued in OH

Legal business name

LIFELINE INSTITUTIONAL PHARMACY

Practice address

3699 Symmes Rd
Suite 1
Hamilton, OH 45015-1370

Phone

(513) 632-7960

Fax

(513) 874-8000

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Walter Lee Williams Jr., RPH

Title

President

Phone

(513) 746-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Anthony Wittrock, PHARMD, RPH, MPA

  • Pharmacist
  • Wilder, KY
  • NPI 1598780819
  NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1114117694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 SYMMES RD",
            "address_2": "SUITE 1",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151370",
            "telephone_number": "513-632-7960",
            "fax_number": "513-874-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 SYMMES RD",
            "address_2": "SUITE 1",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151370",
            "telephone_number": "513-632-7960",
            "fax_number": "513-874-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE INSTITUTIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-746-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "021730800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Lynn Leyrer, M.S. CCC-SLP
• Liberty Care Agency, LLC
• Liberty Township Trustees
• Kae D Lichen
• Melissa Liddle, PSY.D.
• Lifesource, LLC. (LifeSource Christian Life & Mental Health Coaching)
• Lifespan, Inc
• Lifespan, Inc
• Amber Lightle
• Samantha Lillie

• Long Term Care Pharmacy in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.