Lifescript Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

54286 Issued in CA

Legal business name

LIFESCRIPT PHARMACY

Doing business as

LifeScript Pharmacy

Practice address

39039 Paseo Padre Pkwy Ste 201
Fremont, CA 94538-1618

Phone

(510) 967-7951

NPI assigned

May 12, 2016

Last updated

Apr 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph DalavaiNPI 1316305691

Title

Ceo

Phone

(510) 878-7562

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LifeScript Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Joseph Dalavai

  • Pharmacist
  • Fremont, CA
  • NPI 1316305691
  NPD Authorized official
• Lydda Santiago Tolentino, RPH

  • Pharmacist
  • Oakland, CA
  • NPI 1801399951
  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1558717199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39039 PASEO PADRE PKWY STE 201",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381618",
            "telephone_number": "510-967-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39039 PASEO PADRE PKWY STE 201",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381618",
            "telephone_number": "510-967-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESCRIPT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "DALAVAI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-878-7562"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "54286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeScript Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeScript Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britney Lien
• Christina Lien, L.AC.
• Life Eldercare, Inc. (LIFE ElderCare)
• Life in Motion Physical Therapy Incorporated
• Life Springs Hospice Care Inc.
• Light Touch Homecare
• Glecerie Jhoy Ligsay
• Like Home Hospice Care LLC
• Shiela-Lyn Macatiag Lim-Kyo, MS, NNP
• Benedict Anthony Lim, PHD

• Long Term Care Pharmacy in Fremont, CA
• Providers in Fremont, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.