Lifecare Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.019534 Issued in IL

Legal business name

LIFECARE PHARMACY

Practice address

276 W Fullerton Ave
Addison, IL 60101-3767

Phone

(630) 543-1000

Fax

(630) 543-1002

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Altamash Khan

Title

Manager

Phone

(224) 619-9786

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LIFECARE PHARMACY Doing business as

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1821460403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 W FULLERTON AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013767",
            "telephone_number": "630-543-1000",
            "fax_number": "630-543-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 W FULLERTON AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013767",
            "telephone_number": "630-543-1000",
            "fax_number": "630-543-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALTAMASH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-619-9786"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.019534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Addison, IL
• Providers in Addison, IL by specialty
• Community/Retail Pharmacy in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.