Active NPI
Jeffrey Lagasse, PHARM D
- Pharmacist
- Enfield, CT
National Provider Identifier
1376883413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT0011999
- Practice address
- 31 Moody Rd
Enfield, CT 06082-3101 - Phone
- (860) 763-7020
- Fax
- (860) 763-7022
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21990 | MD | |
| Pharmacist | 183500000X | 0202211988 | VA | |
| Pharmacist | 183500000X | RPH-0013511 | OR | |
| Pharmacist | 183500000X | 14388 | NE | |
| Pharmacist | 183500000X | PST020531 | LA | |
| Pharmacist | 183500000X | S020593 | AZ | |
| Pharmacist | 183500000X | PH233629 | MA | |
| Pharmacist | 183500000X | 0000038403 | TN | |
| Pharmacist | 183500000X | 59721 | TX | |
| Pharmacist | 183500000X | 5302043440 | MI | |
| Pharmacist | 183500000X | 018421 | KY | |
| Pharmacist | 183500000X | R2515 | NH | |
| Pharmacist | 183500000X | 061955 | NY | |
| Pharmacist | 183500000X | RP0009365 | WV | |
| Pharmacist | 183500000X | PCT0011999 | CT | Primary |
Addresses
Primary practice location
31 Moody Rd
Enfield, CT 06082-3101
Mailing address
441 Maple Rd
Longmeadow, MA 01106-3119
Phone (413) 519-5080
Other names 1
- Jeffrey Lagasse
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeff@mylyfe.health | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21990 | MD | MD | Clinical Social Worker |
| S020593 | AZ | MD | Pharmacist |
| PCT0011999 | CT | MD | Pharmacist |
| 018421 | KY | MD | Pharmacist |
| PST020531 | LA | MD | Pharmacist |
| PH233629 | MA | MD | Pharmacist |
| 5302043440 | MI | MD | Pharmacist |
| 14388 | NE | MD | Pharmacist |
| R2515 | NH | MD | Pharmacist |
| 061955 | NY | MD | Pharmacist |
| RPH-0013511 | OR | MD | Pharmacist |
| 0000038403 | TN | MD | Pharmacist |
| 59721 | TX | MD | Pharmacist |
| 0202211988 | VA | MD | Pharmacist |
| RP0009365 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mylyfe LLC | Current | Accepting new patients | |
| Mylyfe LLC | Current | Accepting new patients |
Locations
31 Moody Rd
Enfield, CT 06082
Phone (844) 469-5933
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Infusion Therapy Pharmacy
- Enfield, CT
- NPI 1679035315
-
- Home Infusion Therapy Pharmacy
- Foxborough, MA
- NPI 1871117739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1376883413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 MAPLE RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011063119",
"telephone_number": "413-519-5080",
"fax_number": "413-519-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MOODY RD",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823101",
"telephone_number": "860-763-7020",
"fax_number": "860-763-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGASSE",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-27",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21990",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211988",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0013511",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14388",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST020531",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020593",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH233629",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000038403",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59721",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302043440",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "018421",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R2515",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061955",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009365",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0011999",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeff@mylyfe.health",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "441 Maple Rd",
"city": "Longmeadow",
"state": "MA",
"country_code": "US",
"postal_code": "011063119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "LAGASSE",
"credential": "PHARM D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.