Organization Active NPI

Life Wellness Pharmacy, Inc.

  • Pharmacy
  • Carlsbad, CA
National Provider Identifier
1477640548
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
45971 Issued in CA
Legal business name
LIFE WELLNESS PHARMACY, INC.
Practice address
1932 Kellogg Ave
Carlsbad, CA 92008-6581
Phone
(800) 210-9434
Fax
(800) 210-6942
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Michael Lenzner
Title
President
Phone
(800) 210-9434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 45971 CA Primary

Addresses

Primary practice location

1932 Kellogg Ave
Carlsbad, CA 92008-6581

Mailing address

1932 Kellogg Ave
Carlsbad, CA 92008-6581
Phone (800) 210-9434

National Provider Directory

National Provider Directory

Locations

1932 Kellogg Ave
Carlsbad, CA 92008
Phone (800) 210-9434

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1477640548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 KELLOGG AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920086581",
            "telephone_number": "800-210-9434",
            "fax_number": "800-210-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 KELLOGG AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920086581",
            "telephone_number": "800-210-9434",
            "fax_number": "800-210-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELLNESS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "LENZNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-210-9434"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "45971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.