Lifetime Pharmacy RX Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LIFETIME PHARMACY RX INC

Practice address

347 E la Habra Blvd
La Habra, CA 90631-5439

Phone

(562) 448-0933

Fax

(562) 448-3090

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Mark Anthony Mariano Francisco

Title

Ceo

Phone

(562) 448-0933

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Cal-Hills Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Dianne Javier

  • Pharmacist
  • Santa Ana, CA
  • NPI 1265045769
  NPD (past)

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255899217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 W COAST HWY APT 6D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634071",
            "telephone_number": "951-442-3724",
            "fax_number": "562-448-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 E LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315439",
            "telephone_number": "562-448-0933",
            "fax_number": "562-448-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME PHARMACY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "MARK ANTHONY",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-448-0933"
    },
    "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": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5669001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal-Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cal-Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lew, M.D.
• David J Liem, O.D.
• Life Care Centers of America, Inc.
• Lifeline Counseling and Educational Services
• Lifesavers' Home Health Services, Inc.
• Tina C Lin, M.D.
• Elaine Young Liu
• Wei Liu
• Brianna Llamas
• Robert Patrick Lo, PHARM.D

• Long Term Care Pharmacy in La Habra, CA
• Providers in La Habra, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.