Active NPI
Healthy Life Pharmacy LLC
- Long Term Care Pharmacy
- Bismarck, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- HEALTHY LIFE PHARMACY LLC
- Practice address
- 1013 Cedar St Ste B
Bismarck, MO 63624-8901 - Phone
- (573) 734-8588
- Fax
- (888) 626-5925
- NPI assigned
- Jun 2, 2023
- Organization subpart
- Yes
- Parent organization
- HEALTHY LIFE PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura E Haynes, PHARMD
- Title
- Owner/Pharmacist-in-Charge
- Phone
- (573) 734-8588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1013 Cedar St Ste B
Bismarck, MO 63624-8901
Mailing address
1013 Cedar St Ste B
Bismarck, MO 63624-8901
Phone (573) 734-8588
National Provider Directory
National Provider Directory- Tax ID family
- Healthy Life Pharmacy LLC
- Part of
- Healthy Life Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Bismarck, MO
- NPI 1619604154
Locations
1013 Cedar St
#B
Bismarck, MO 63624
Phone (573) 734-8588
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Bismarck, MO
- NPI 1619604154
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bismarck, MO
- NPI 1013372952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1134812282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 CEDAR ST STE B",
"city": "BISMARCK",
"state": "MO",
"postal_code": "636248901",
"telephone_number": "573-734-8588",
"fax_number": "888-626-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 CEDAR ST STE B",
"city": "BISMARCK",
"state": "MO",
"postal_code": "636248901",
"telephone_number": "573-734-8588",
"fax_number": "888-626-5925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIFE PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTHY LIFE PHARMACY LLC",
"enumeration_date": "2023-06-02",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "573-734-8588",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.