Active NPI
Life Pharmacy Inc
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1275673923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047043-1
- Legal business name
- LIFE PHARMACY INC
- Practice address
- 4301 14TH Ave
Brooklyn, NY 11219-1429 - Phone
- (718) 438-1421
- Fax
- (718) 438-1483
- NPI assigned
- Feb 8, 2007
- Last updated
- Jun 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elan Gutman
- Title
- Pharmacist
- Phone
- (718) 438-1421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047043-1 | NY | Primary |
Addresses
Primary practice location
4301 14TH Ave
Brooklyn, NY 11219-1429
Mailing address
4301 14TH Ave
Brooklyn, NY 11219-1429
Phone (718) 438-1421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02473958 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240408001155 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284842519 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Life Pharmacy Inc | Nebulizer Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
4301 14th Ave
Brooklyn, NY 11219
Phone (718) 438-1421
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Pharmacist
- Brooklyn, NY
- NPI 1235453812
-
- Pharmacist
- Brooklyn, NY
- NPI 1528239514
-
- Pharmacist
- Forest Hills, NY
- NPI 1336465434
-
- Pharmacist
- Brooklyn, NY
- NPI 1992342646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1275673923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 14TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112191429",
"telephone_number": "718-438-1421",
"fax_number": "718-438-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 14TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112191429",
"telephone_number": "718-438-1421",
"fax_number": "718-438-1483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "GUTMAN",
"authorized_official_first_name": "ELAN",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "718-438-1421"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047043-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02473958",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Life in Progress Mental Health Counseling PLLC
- Life Infusion Pharmacy Corp (Life Infusions)
- Life Infusions Pharma Corp.
- Life Line Medical Care, PC
- Life Long Staffing Agency LLC
- Life Quality Homecare Agency Inc
- Life Quality Homecare Agency, Inc.
- Life Quality Medical Supply
- Life Rehab PT PC
- Life Transmed Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.