NPIMap

Organization Active NPI

Lifemed Illinois, LLC

  • Long Term Care Pharmacy
  • Bensenville, IL
National Provider Identifier
1194144691
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LIFEMED ILLINOIS, LLC
Practice address
881 Il Route 83
Bensenville, IL 60106-1219
Phone
(888) 806-3379
Fax
(954) 385-4942
NPI assigned
Apr 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Dr. David Maya, PHARM. D.NPI 1477835098
Title
Manager
Phone
(954) 385-4998

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)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X IL Primary

Addresses

Primary practice location

881 Il Route 83
Bensenville, IL 60106-1219

Mailing address

15491 SW 12TH St
Suite 400
Sunrise, FL 33326-1991
Phone (954) 385-4998

National Provider Directory

National Provider Directory

Locations

15491 SW 12th St
Ste 400
Sunrise, FL 33326
Phone (954) 513-1689

871 Il Route 83
Bensenville, IL 60106
Phone (844) 422-1422

881 Il Route 83
Bensenville, IL 60106
Phone (888) 806-3379

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1194144691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15491 SW 12TH ST",
            "address_2": "SUITE 400",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261991",
            "telephone_number": "954-385-4998",
            "fax_number": "954-385-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 IL ROUTE 83",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601061219",
            "telephone_number": "888-806-3379",
            "fax_number": "954-385-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMED ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "MAYA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-385-4998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.