NPIMap

Organization Active NPI

Lifecare Pharmacy, LLC

Doing business as Care N Home Pharmacy

  • Specialty Pharmacy
  • Las Vegas, NV
National Provider Identifier
1750788816
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH01798 Issued in NV
Legal business name
LIFECARE PHARMACY, LLC
Doing business as
Care N Home Pharmacy
Practice address
3050 E Desert Inn Rd
Ste 124
Las Vegas, NV 89121-3870
Phone
(702) 697-2105
Fax
(702) 697-2107
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Cletus AmadiNPI 1053324350
Title
Pharmacy Manager
Phone
(702) 697-2105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Managed Care Organization Pharmacy 3336M0003X NU
Specialty Pharmacy 3336S0011X PH01798 NV Primary

Addresses

Primary practice location

3050 E Desert Inn Rd
Ste 124
Las Vegas, NV 89121-3870

Mailing address

3050 E Desert Inn Rd
Ste 124
Las Vegas, NV 89121-3870
Phone (702) 697-2105

Other identifiers 1

IdentifierTypeStateIssuer
2149104OtherPK

Other names 1

  • Care N Home Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care N Home Pharmacy2 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.

Locations

3050 E Desert Inn Rd
Ste 124
Las Vegas, NV 89121
Phone (702) 303-6790

Practitioners & affiliated clinicians

Practitioners 1

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": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1750788816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 E DESERT INN RD",
            "address_2": "STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213870",
            "telephone_number": "702-697-2105",
            "fax_number": "702-697-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E DESERT INN RD",
            "address_2": "STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213870",
            "telephone_number": "702-697-2105",
            "fax_number": "702-697-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "CLETUS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "702-697-2105"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NV",
            "license": "PH01798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care N Home Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.