Life Fluids Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

11721 Issued in FL

Legal business name

LIFE FLUIDS INC

Practice address

101 N Federal Hwy
Lake Worth, FL 33460-3435

Phone

(561) 585-4679

Fax

(561) 588-8562

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Ken M JerkinsNPI 1245315225

Title

President

Phone

(561) 585-4679

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ken's Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ken M Jerkins, RPH

  • Pharmacist
  • Lake Worth, FL
  • NPI 1245315225
  NPD (past) Authorized official
• Jacqueline Castillo, PHARM.D.

  • Pharmacist
  • Lake Worth, FL
  • NPI 1124435516
  NPD (past)
• Ryan Goodkin

  • Pharmacist
  • Lake Worth, FL
  • NPI 1497167068
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386686699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603435",
            "telephone_number": "561-585-4679",
            "fax_number": "561-588-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603435",
            "telephone_number": "561-585-4679",
            "fax_number": "561-588-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FLUIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-585-4679"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "11721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1072468",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ken's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecilia Marvilla Liangco, MD
• Thomas Liberto, LMT
• Maria Licea Sanchez
• Mark Alan Lieberfarb, MD
• Life Community Wellness Center Corp
• Lifecare Solutions of Palm Beach Inc
• Lifeline to Recovery Inc
• Lifestyle Health & Wellness Medical Group
• Lifestyle Health Inc
• John D Light, DMD

• Specialty Pharmacy in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Specialty Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.