Organization Active NPI

La Vida Discount Pharmacy Inc

Doing business as La Vida Discount Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1154719524
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482534 Issued in PA
Legal business name
LA VIDA DISCOUNT PHARMACY INC
Doing business as
La Vida Discount Pharmacy
Practice address
3204 Kensington Ave FL 1
1St FL
Philadelphia, PA 19134-1918
Phone
(215) 427-1603
Fax
(215) 427-3590
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Patrick AssifuahNPI 1528946654
Title
Pharmacy Owner
Phone
(862) 215-3414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482534 PA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3204 Kensington Ave FL 1
1St FL
Philadelphia, PA 19134-1918

Mailing address

3204 Kensignton Ave
1St FL
Philadelphia, PA 19134
Phone (215) 427-1603

Other identifiers 2

IdentifierTypeStateIssuer
2149600OtherPK
103007788MedicaidPA

Other names 1

  • LA VIDA DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1154719524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 KENSIGNTON AVE",
            "address_2": "1ST FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "215-427-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 KENSINGTON AVE FL 1",
            "address_2": "1ST FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341918",
            "telephone_number": "215-427-1603",
            "fax_number": "215-427-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ASSIFUAH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "862-215-3414"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482534",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103007788",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA VIDA DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.