Lifetime Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LIFETIME PHARMACY, LLC

Practice address

212 W Edison Rd Ste a
Mishawaka, IN 46545-8301

Phone

(574) 318-4195

Fax

(574) 318-4936

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Hassan Fakih, PHARMDNPI 1083360671

Title

Owner/Pic

Phone

(574) 318-4195

Specialties & licenses 2

Addresses

Tax ID family

Lifetime Pharmacy LLC2 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.

• Lifetime Pharmacy, LLC

  • Community/Retail Pharmacy
  • Mishawaka, IN
  • NPI 1750128401
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hassan Fakih

  • Pharmacist
  • South Bend, IN
  • NPI 1083360671
  NPD Authorized official

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1831998467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19120 OAKMONT SOUTH DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373529",
            "telephone_number": "313-828-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W EDISON RD STE A",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458301",
            "telephone_number": "574-318-4195",
            "fax_number": "574-318-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "FAKIH",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "574-318-4195",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Li, MD
• Libby Lake Counseling LLC
• Emma Grace Lichtenbarger
• Life in Balance LLC
• Lifetime Pharmacy, LLC
• Carianne Nicole Lilly, DPM
• Lloyd Bolivar Limbaga Jr., P.T.
• Jamie Limberty
• Kyle G Lindberg, OD
• Mayra Lindborg, NP

• Long Term Care Pharmacy in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.