Organization Active NPI

Lifelinerx LLC

  • Compounding Pharmacy
  • West Palm Beach, FL
National Provider Identifier
1609229087
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
LIFELINERX LLC
Practice address
1489 N Military TRL Ste 113
West Palm Beach, FL 33409-6030
Phone
(561) 740-8455
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Angella Benvenisti
Title
Manager
Phone
(561) 740-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

1489 N Military TRL Ste 113
West Palm Beach, FL 33409-6030

Mailing address

1489 N Military TRL Ste 113
West Palm Beach, FL 33409-6030

National Provider Directory

National Provider Directory

Locations

1489 N Military Trl
Ste 113
West Palm Beach, FL 33409
Phone (561) 740-8455

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1609229087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL STE 113",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL STE 113",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096030",
            "telephone_number": "561-740-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINERX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "BENVENISTI",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-740-8455"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.