Lifecare Pharmacy Yuma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIFECARE PHARMACY YUMA LLC

Practice address

2514 South Ave a
Suite 2
Yuma, AZ 85365

Phone

(210) 881-0890

NPI assigned

Aug 22, 2019

Last updated

Aug 22, 2019By 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

Prem KalidindiNPI 1699102699

Title

Managing Member

Phone

(917) 769-8014

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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.

• Prem S. Kalidindi

  • Pharmacist
  • Irving, TX
  • NPI 1699102699
  Authorized official Same address or phone

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1326695545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12929",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120929",
            "telephone_number": "210-881-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 SOUTH AVE A",
            "address_2": "SUITE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "210-881-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PHARMACY YUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "KALIDINDI",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-769-8014"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY REATIL PHARMACY",
            "identifier": "YOO7848",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lifecarepharmacy.com",
            "affiliation": "N",
            "address_1": "2514 South Ave A",
            "address_2": "Suite 2",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresa Marie Lewis, PHARMD
• Jacqueline Lewton, PHARMD
• Martha Janeth Leyva Valenzuela
• Cherie P Lhungay, M.D.
• Life Care Centers of America, Inc. (Life Care Center of Yuma)
• Lighthouse RTC
• Maju Lim, FNP C
• Trinidad Atayoc Lim, M.D.
• Chieh Hsin Lin, M.D.
• Jonathan C Lin, M.D.

• Community/Retail Pharmacy in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.