NPIMap

Organization Active NPI

Life Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1457731671
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06878 Issued in MD
Legal business name
LIFE CARE PHARMACY LLC
Doing business as
LIFE CARE PHARMACY LLC
Practice address
5429 Reistertown Road
Baltimore, MD 21215
Phone
(443) 869-6787
Fax
(443) 869-6577
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Emmanuel Akeroro
Title
Owner
Phone
(443) 869-6787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P06878 MD Primary

Addresses

Primary practice location

5429 Reistertown Road
Baltimore, MD 21215

Mailing address

5429 Reistertown Road
Baltimore, MD 21215
Phone (443) 869-6787

Other identifiers 2

IdentifierTypeStateIssuer
2149930OtherPK
094305300MedicaidMD

Other names 1

  • LIFE CARE PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5429 Reisterstown Rd
Baltimore, MD 21215
Phone (443) 869-6787

5417 Reisterstown Rd
Ste B
Baltimore, MD 21215

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1457731671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 REISTERTOWN ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "443-869-6787",
            "fax_number": "443-869-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 REISTERTOWN ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "443-869-6787",
            "fax_number": "443-869-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "AKERORO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-869-6787"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149930",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094305300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE CARE PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIFE CARE PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.