Lifefill I, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LIFEFILL I, LLC

Doing business as

Novocare

Practice address

12639 W Explorer Dr Ste 125
Boise, ID 83713-1887

Phone

(866) 898-9368

Fax

(855) 251-0222

NPI assigned

Jul 21, 2026

Last updated

Sep 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Nameth

Title

Evp, Cloud and Specialty Pharmacy

Phone

(646) 201-9585

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Novocare Doing business as

Locations

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1225959968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BROADWAY RM 1910",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12639 W EXPLORER DR STE 125",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131887",
            "telephone_number": "866-898-9368",
            "fax_number": "855-251-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFILL I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "NAMETH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EVP, CLOUD AND SPECIALTY PHARMACY",
        "authorized_official_telephone_number": "646-201-9585"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "1781728",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novocare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Quest Center Inc
• Life Solutions Inc.
• Life Thrive Wellness LLC
• Life's Choices, Inc
• Lifebridge Support LLC
• Lifematters Counseling Services, LLC
• Lifepath Services LLC (Lifepath Counseling and Wellness)
• Lifepath Services LLC (Lifepath Counseling and Wellness)
• Lifepath Services LLC (Lifepath Counseling and Wellness)
• Lifepath Services LLC (Lifepath Counseling and Wellness)

• Pharmacy in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.