Organization Active NPI

Lifemed, Inc.

  • Long Term Care Pharmacy
  • Redding, CA
National Provider Identifier
1609230994
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LIFEMED, INC.
Practice address
2025 Court St Ste E
Redding, CA 96001-1805
Phone
(530) 241-3550
Fax
(530) 241-3605
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Mr. John Friesen
Title
Ceo
Phone
(530) 246-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2025 Court St Ste E
Redding, CA 96001-1805

Mailing address

PO Box 993668
Redding, CA 96099-3668

Other identifiers 3

IdentifierTypeStateIssuer
PHY54477OtherCACA BOP
1609230994MedicaidCA
5659733OtherNCPDP

Other names 1

  • Lifemed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171017001769 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0244506327 Practice locations: Redding, CA
O20171211002308 CA DME Supplier - Pharmacy 0244506327 Practice locations: Redding, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lifemed2025 Court St, Redding, CA 96001-1805(530) 241-3550 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 1, 2016

National Provider Directory

National Provider Directory

Locations

2025 Court St
Ste E
Redding, CA 96001
Phone (530) 241-3550

2247 Court St
Redding, CA 96001

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1609230994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993668",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960993668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 COURT ST STE E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011805",
            "telephone_number": "530-241-3550",
            "fax_number": "530-241-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-246-1075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOP",
            "identifier": "PHY54477",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609230994",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5659733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifemed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.