Organization Active NPI

Lifelong Pharmaceuticals LLC

Doing business as seaway pharmacy

  • Pharmacy
  • Toledo, OH
National Provider Identifier
1790164721
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LIFELONG PHARMACEUTICALS LLC
Doing business as
seaway pharmacy
Practice address
1707 Cherry St
Toledo, OH 43608-2857
Phone
(419) 214-5197
Fax
(419) 214-5199
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Al Elouta
Title
Manager
Phone
(419) 214-5198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1707 Cherry St
Toledo, OH 43608-2857

Mailing address

1707 Cherry St
Toledo, OH 43608-2857
Phone (419) 214-5197

Other names 1

  • seaway pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1707 Cherry St
Toledo, OH 43608
Phone (419) 214-5197

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1790164721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082857",
            "telephone_number": "419-214-5197",
            "fax_number": "419-214-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082857",
            "telephone_number": "419-214-5197",
            "fax_number": "419-214-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "ELOUTA",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-214-5198"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "seaway pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.