Active NPI
Lifechek Denison LLC
- Community/Retail Pharmacy
- Elsa, TX
National Provider Identifier
1811096605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 25740
- Legal business name
- LIFECHEK DENISON LLC
- Practice address
- 103 S Broadway
Elsa, TX 78543 - Phone
- (956) 262-3361
- Fax
- (956) 262-5033
- NPI assigned
- Sep 21, 2006
- Organization subpart
- Yes
- Parent organization
- LIFECHEK AUCHAN PARTNERS LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Gingrich
- Title
- Owner/President
- Phone
- (281) 232-3940
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 25740 | TX | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
103 S Broadway
Elsa, TX 78543
Mailing address
PO Box 1167
Elsa, TX 78543-1167
Phone (281) 232-3940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466433 | Medicaid | TX | |
| 2098827 | Other | PK |
Other names 1
- LIFECHEK
National Provider Directory
National Provider Directory- Part of
- Lifechek Auchan Partners LTD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404345600000",
"number": "1811096605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1167",
"city": "ELSA",
"state": "TX",
"postal_code": "785431167",
"telephone_number": "281-232-3940",
"fax_number": "832-595-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S BROADWAY",
"city": "ELSA",
"state": "TX",
"postal_code": "78543",
"telephone_number": "956-262-3361",
"fax_number": "956-262-5033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECHEK DENISON LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFECHEK AUCHAN PARTNERS LTD",
"enumeration_date": "2006-09-21",
"last_updated": "2014-07-03",
"status": "A",
"authorized_official_last_name": "GINGRICH",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "281-232-3940"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "25740",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466433",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2098827",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFECHEK",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elsa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.