Lalibela, LTD

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LALIBELA, LTD

Practice address

9892 Bustleton Ave Ste 102
Philadelphia, PA 19115-2138

Phone

(215) 315-8980

Fax

(215) 315-8984

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Yakov Berezhinsky

Title

President

Phone

(215) 315-8980

Specialties & licenses 1

Addresses

Other names 1

• Elite Pharmacy Doing business as

Tax ID family

Elite Pharmacy2 organizations share this tax ID, including this one

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1699417196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152138",
            "telephone_number": "215-315-8980",
            "fax_number": "215-315-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152138",
            "telephone_number": "215-315-8980",
            "fax_number": "215-315-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALIBELA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "BEREZHINSKY",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-315-8980"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paras C Lakhani, MD
• Aparna Lakshminarasimhan, MD
• Deepak Raghavan Lakshmipathy
• Divya Lal
• Priti Lal, MD
• Kimberly Laliberte
• Davindra Lall
• Costas D. Lallas, M.D.
• Gilian Virginia Lally
• Michelle Lally, LSW

• Long Term Care Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.