Lifeline Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26543 Issued in TX

Legal business name

LIFELINE PHARMACY

Practice address

8514 C E King Pkwy Ste a
Houston, TX 77044-2344

Phone

(281) 741-2892

Fax

(281) 741-2898

NPI assigned

Nov 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Agba, PA

Title

Owner/President

Phone

(281) 741-2892

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1346578614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 C E KING PKWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442344",
            "telephone_number": "281-741-2892",
            "fax_number": "281-741-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 C E KING PKWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442344",
            "telephone_number": "281-741-2892",
            "fax_number": "281-741-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "AGBA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-741-2892",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline DME LLC
• Lifeline Health Group LLC
• Lifeline Laboratory LLC
• Lifeline Management Inc
• Lifeline Management, Inc.
• Lifeline Pharmacy Incorporated
• Lifeline Resource Group Inc
• Lifeline Urgent Care LLC
• Lifeline Urgent Care LLC
• Lifelong Connections

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.