Active NPI
Lifecare120 LLC
- Community/Retail Pharmacy
- Inlet Beach, FL
National Provider Identifier
1417857038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LIFECARE120 LLC
- Practice address
- 36 Bulow CT
Inlet Beach, FL 32461-8714 - Phone
- (501) 476-4559
- Fax
- (501) 476-4559
- NPI assigned
- Nov 7, 2026
- Last updated
- Nov 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wesley Moss
- Title
- MGR
- Phone
- (501) 476-4559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
36 Bulow CT
Inlet Beach, FL 32461-8714
Mailing address
390 NE 191St St Ste 58135
Miami, FL 33179-3899
Phone (501) 476-4559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1794009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1794009600000",
"number": "1417857038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 NE 191ST ST STE 58135",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793899",
"telephone_number": "501-476-4559",
"fax_number": "501-476-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BULOW CT",
"city": "INLET BEACH",
"state": "FL",
"postal_code": "324618714",
"telephone_number": "501-476-4559",
"fax_number": "501-476-4559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE120 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-07",
"last_updated": "2026-11-07",
"certification_date": "2026-11-07",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "WESLEY",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "501-476-4559"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inlet Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.