Lifestream Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP481713 Issued in PA

Legal business name

LIFESTREAM PHARMACY INC

Doing business as

Lifesream RX

Practice address

847 Easton Rd
Ste 2775
Warrington, PA 18976-2906

Phone

(215) 491-0979

Fax

(215) 491-0977

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Demetrios Melekos, RPH

Title

Owner

Phone

(215) 491-0979

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LIFESREAM RX Doing business as

Tax ID family

Lifesream RX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifestream Pharmacy Inc

  dba Lifestream Pharmacy

  • Community/Retail Pharmacy
  • Warrington, PA
  • NPI 1144255357
  NPD tax ID

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1730308826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 EASTON RD",
            "address_2": "STE 2775",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762906",
            "telephone_number": "215-491-0979",
            "fax_number": "215-491-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 EASTON RD",
            "address_2": "STE 2775",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762906",
            "telephone_number": "215-491-0979",
            "fax_number": "215-491-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MELEKOS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-491-0979",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP481713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081797",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015654020002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESREAM RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Warrington, PA
• Providers in Warrington, 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 Mar 24, 2017; 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.