NPIMap

Organization Active NPI

Lifemed Pharmacy LLC

  • Long Term Care Pharmacy
  • Rochester, NY
National Provider Identifier
1467717892
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
031504 Issued in NY
Legal business name
LIFEMED PHARMACY LLC
Practice address
1249 Ridgeway Ave Ste Q
Rochester, NY 14615-3761
Phone
(847) 350-3446
Fax
(954) 748-1170
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
David MayaNPI 1477835098
Title
Ceo
Phone
(847) 350-3446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 031504 NY Primary

Addresses

Primary practice location

1249 Ridgeway Ave Ste Q
Rochester, NY 14615-3761

Mailing address

4577 N Nob Hill Raad
Suite 209
Sunrise, FL 33351
Phone (847) 350-3446

Other identifiers 1

IdentifierTypeStateIssuer
2136176OtherPK

Other names 1

  • LifeMed Pharmacy of Rochester Doing business as

National Provider Directory

National Provider Directory

Locations

4577 N Nob Hill Rd
Ste 209
Sunrise, FL 33351

1249 Ridgeway Ave
Ste Q
Rochester, NY 14615
Phone (516) 281-8820

Practitioners & affiliated clinicians

Practitioners 11

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": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1467717892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 N NOB HILL RAAD",
            "address_2": "SUITE 209",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "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": "1249 RIDGEWAY AVE STE Q",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146153761",
            "telephone_number": "847-350-3446",
            "fax_number": "954-748-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMED PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "MAYA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-350-3446"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "031504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeMed Pharmacy of Rochester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • 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.