Lifefill III, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LIFEFILL III, LLC

Practice address

3597 E Monarch Sky LN. Suite 240
Ofc 215
Meridian, ID 83646

Phone

(208) 247-3184

NPI assigned

Jul 31, 2026

Last updated

Jul 31, 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

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1285557926",
    "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": "3597 E MONARCH SKY LN. SUITE 240",
            "address_2": "OFC 215",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-247-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFILL III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-06-26",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "6181221",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.