Active NPI
Life Change RX LLC
Doing business as Life Change Pharmacy
- Pharmacy
- Milwaukee, WI
National Provider Identifier
1437672797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- LIFE CHANGE RX LLC
- Doing business as
- Life Change Pharmacy
- Practice address
- 1844 S 15TH St
Milwaukee, WI 53204-3225 - Phone
- (414) 335-4617
- Fax
- (414) 751-5146
- NPI assigned
- Jul 19, 2017
- Last updated
- Mar 31, 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
- Mohamed El Sheikh, RPH
- Title
- Owner
- Phone
- (414) 335-4617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1844 S 15TH St
Milwaukee, WI 53204-3225
Mailing address
7115 W Capitol Dr
Milwaukee, WI 53216-2051
Phone (414) 600-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100071374 | Medicaid | WI |
Other names 1
- Life Change Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180831000633 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 5597015180 | Practice locations: Milwaukee, WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Milwaukee, WI
- NPI 1467739748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1437672797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7115 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162051",
"telephone_number": "414-600-2000",
"fax_number": "414-600-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 S 15TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532043225",
"telephone_number": "414-335-4617",
"fax_number": "414-751-5146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CHANGE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-19",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "EL SHEIKH",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-335-4617",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100071374",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Change Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milwaukee, WI
- Life Change RX 1 LLC (Life Change Pharmacy 2)
- Life Change RX 3 LLC (Life Change Pharmacy 3)
- Life Change RX 4 LLC (Life Change Pharmacy 4)
- Life Change RX LLC (Life Change Pharmacy 1)
- Life Change RX LLC (Life Change Pharmacy 1 Long term care)
- Life Changing Ministries Substance Abuse Services
- Life Connects Home Care LLC
- Life Enhanced Counseling Services
- Life Enhancement Supportive Services
- Life Enhancement Supportive Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.