Lifecare RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034510 Issued in NY

Legal business name

LIFECARE RX INC.

Practice address

8342 Parsons Blvd
Jamaica, NY 11432-1642

Phone

(718) 658-9300

Fax

(718) 658-2700

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Eduart Borukhov

Title

President

Phone

(718) 658-9300

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Med Script Pharmacy Doing business as

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1689047565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8342 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321642",
            "telephone_number": "718-658-9300",
            "fax_number": "718-658-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8342 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321642",
            "telephone_number": "718-658-9300",
            "fax_number": "718-658-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "BORUKHOV",
        "authorized_official_first_name": "EDUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-658-9300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034510",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Script Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Licea
• Latonya Lidge
• Life Health Care Medical, PC
• Life Skills 101, Inc.
• Life'S Worc
• Barbara Ligas, MD
• Samantha Leanne Lightner
• Sherrie Lynn Lynn Lilley
• Traceyann Nicola Lilly
• Jahyuk Jay Lim

• Community/Retail Pharmacy in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.