Organization Active NPI

Life Pharma II Inc

Doing business as Life Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1699959296
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029019 Issued in NY
Legal business name
LIFE PHARMA II INC
Doing business as
Life Pharmacy
Practice address
471 Lenox Ave
New York, NY 10037-3000
Phone
(212) 694-5700
Fax
(212) 694-5794
NPI assigned
Dec 19, 2007
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Rathna Veeramochanani
Title
President
Phone
(212) 694-5700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029019 NY Primary

Addresses

Primary practice location

471 Lenox Ave
New York, NY 10037-3000

Mailing address

471 Lenox Ave
New York, NY 10037-3000
Phone (212) 694-5700

Other identifiers 2

IdentifierTypeStateIssuer
3022882MedicaidNY
2070050OtherPK

Other names 1

  • LIFE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930055446 NY DME Supplier - Pharmacy 0941407688 Practice locations: New York, NY

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
Life Pharmacy471 Lenox Avenue, New York, NY 10037-3000(212) 694-5700 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|E… Does not accept assignmentParticipating since Aug 13, 2008

National Provider Directory

National Provider Directory

Locations

471 Malcolm X Blvd
New York, NY 10037
Phone (212) 694-5700

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1699959296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373000",
            "telephone_number": "212-694-5700",
            "fax_number": "212-694-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373000",
            "telephone_number": "212-694-5700",
            "fax_number": "212-694-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PHARMA II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "VEERAMOCHANANI",
        "authorized_official_first_name": "RATHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-694-5700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3022882",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.