Organization Active NPI

JRSP Prarma Corporation

Doing business as Lifeline Prescription Center

  • Pharmacist
  • Swansea, MA
National Provider Identifier
1487752853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3369 Issued in MA
Legal business name
JRSP PRARMA CORPORATION
Doing business as
Lifeline Prescription Center
Practice address
1211 G a R Hwy
Swansea, MA 02777-4225
Phone
(508) 646-1003
Fax
(508) 646-1355
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Puscizna
Title
Manager
Phone
(508) 646-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3369 MA Primary

Addresses

Primary practice location

1211 G a R Hwy
Swansea, MA 02777-4225

Mailing address

1211 G a R Hwy
Swansea, MA 02777-4225
Phone (508) 646-1003

Other identifiers 1

IdentifierTypeStateIssuer
0406864MedicaidMA

Other names 1

  • LIFELINE PRESCRIPTION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487752853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 G A R HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774225",
            "telephone_number": "508-646-1003",
            "fax_number": "508-646-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 G A R HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774225",
            "telephone_number": "508-646-1003",
            "fax_number": "508-646-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRSP PRARMA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUSCIZNA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-646-1003"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406864",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE PRESCRIPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.