Lifemed Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0000983 Issued in CT

Legal business name

LIFEMED PHARMACY LLC

Doing business as

Lifemed Pharmacy LLC

Practice address

447 Doughty Blvd
Inwood, NY 11096-1345

Phone

(847) 350-3446

Fax

(954) 748-1170

NPI assigned

Jul 27, 2007

Last updated

Sep 9, 2015By 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

Jennifer Thomas

Title

Controller

Phone

(847) 350-3446

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LIFEMED PHARMACY LLC Doing business as

Locations

Practitioners 4

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.

• David Maya, PHARM. D.

  • Pharmacist
  • Weston, FL
  • NPI 1477835098
  NPD
• Saba Ansari, PHARM.D

  • Pharmacist
  • Inwood, NY
  • NPI 1871815076
  NPD (past)
• Ruben Antonio Navarro, R.PH.

  • Geriatric Pharmacist
  • Inwood, NY
  • NPI 1548582083
  NPD (past)
• Brian C Tsang, PHARM.D

  • Pharmacist
  • Inwood, NY
  • NPI 1487939468
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1447440250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 N NOB HILL RD",
            "address_2": "#209",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514712",
            "telephone_number": "847-350-3446",
            "fax_number": "954-748-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110961345",
            "telephone_number": "847-350-3446",
            "fax_number": "954-748-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMED PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "847-350-3446"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "028485",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "0000983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2907904",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFEMED PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janine Korman Mandel
• Sarah Mindy Krasner
• Jennifer Lee, PHARM.D
• Melissa Brooke Levenson, B.S. ED
• Rachel Levine
• Dora Elena Lopez-Martinez, LMSW
• Kimberly Lucas
• Luggage Fixery, Inc. (The Fixery)
• Rachel Ann Lukeman, M.ED.
• Gilbert G Makabali, MD

• Long Term Care Pharmacy in Inwood, NY
• Providers in Inwood, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.