Organization Active NPI

Lifetime Pharmacy LLC

Doing business as Lifetime Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1922765908
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LIFETIME PHARMACY LLC
Doing business as
Lifetime Pharmacy
Practice address
413 E Wyoming Ave
Philadelphia, PA 19120-4532
Phone
(267) 810-9506
NPI assigned
Nov 24, 2021
Last updated
Nov 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2021

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

Authorized official

Name
Najwa AbdallahNPI 1598422891
Title
Owner
Phone
(267) 810-9506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

413 E Wyoming Ave
Philadelphia, PA 19120-4532

Mailing address

419 E Wyoming Ave
Philadelphia, PA 19120-4532
Phone (267) 810-9506

Other names 1

  • Lifetime Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

413 E Wyoming Ave
Philadelphia, PA 19120
Phone (215) 324-7040

419 E Wyoming Ave
Philadelphia, PA 19120

Practitioners & affiliated clinicians

Practitioners 3

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": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637971200000",
    "number": "1922765908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E WYOMING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204532",
            "telephone_number": "267-810-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E WYOMING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204532",
            "telephone_number": "267-810-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "NAJWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-810-9506"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.