Life Infusions Pharma Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIFE INFUSIONS PHARMA CORP.

Doing business as

Life Infusions Pharma Corp.

Practice address

19 Fayette St FL 4
Brooklyn, NY 11206-4597

Phone

(718) 750-9020

Fax

(718) 750-9021

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Elan Guttman, RPH

Title

President

Phone

(917) 575-2231

Specialties & licenses 4

Addresses

Other names 1

• LIFE INFUSIONS PHARMA CORP. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1245012699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FAYETTE ST FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064597",
            "telephone_number": "718-750-9020",
            "fax_number": "718-750-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FAYETTE ST FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064597",
            "telephone_number": "718-750-9020",
            "fax_number": "718-750-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE INFUSIONS PHARMA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "GUTTMAN",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-575-2231",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE INFUSIONS PHARMA CORP.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIFE INFUSIONS PHARMA CORP.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Life Pharmacy Inc
• Life Quality Homecare Agency Inc
• Life Quality Homecare Agency, Inc.

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.