NPIMap

Organization Active NPI

Lifepoint Pharmacy

  • Community/Retail Pharmacy
  • Murrieta, CA
National Provider Identifier
1508697194
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIFEPOINT PHARMACY
Practice address
39835 Alta Murrieta Dr Ste B19
Murrieta, CA 92563-5439
Phone
(951) 234-8282
Fax
(951) 234-8285
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Kirolos Andrawos, RPHNPI 1144881004
Title
Cfo
Phone
(626) 383-5711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

39835 Alta Murrieta Dr Ste B19
Murrieta, CA 92563-5439

Mailing address

39835 Alta Murrieta Dr Ste B19
Murrieta, CA 92563-5439
Phone (951) 234-8282

National Provider Directory

National Provider Directory
Tax ID family
Lifepoint Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39835 Alta Murrieta Dr
Ste B19
Murrieta, CA 92563
Phone (951) 234-8282

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1508697194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39835 ALTA MURRIETA DR STE B19",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635439",
            "telephone_number": "951-234-8282",
            "fax_number": "951-234-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39835 ALTA MURRIETA DR STE B19",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635439",
            "telephone_number": "951-234-8282",
            "fax_number": "951-234-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "ANDRAWOS",
        "authorized_official_first_name": "KIROLOS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-383-5711",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.