Lifeline RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030268 Issued in NY

Legal business name

LIFELINE RX LLC

Doing business as

The Medicine Shoppe

Practice address

38 Grant St
Walden, NY 12586-1850

Phone

(845) 778-6661

Fax

(845) 778-6639

NPI assigned

Jul 6, 2010

Last updated

Nov 6, 2013By 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

Dharmesh Patel

Title

President

Phone

(845) 778-6661

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Doing business as

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1356653448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GRANT ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861850",
            "telephone_number": "845-778-6661",
            "fax_number": "845-778-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GRANT ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861850",
            "telephone_number": "845-778-6661",
            "fax_number": "845-778-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHARMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-778-6661"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127175",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3281005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Noelle Labarge
• LCL Physical Therapy (Orange Physical Therapy)
• Leaps and Bounds Therapeutic Intervention, OT, SLP, PLLC
• Yoo Seok Lee, DDS
• Kathy Ann Lewis, SLP
• Debra R Livingston, MS, CCC-SLP, TSHH
• Lauren Elise Lomoe-Thompson, CASAC-T
• Audra Lee Ludlow
• Katherine G Lynch
• Anneke S. Maendel, MD

• Community/Retail Pharmacy in Walden, NY
• Providers in Walden, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.