Life Pharma Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIFE PHARMA CORP

Practice address

1109 NW 22ND Ave
Miami, FL 33125

Phone

(305) 646-1111

Fax

(786) 703-1242

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Jorge L Hernandez Lara

Title

President

Phone

(305) 646-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1962123778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-646-1111",
            "fax_number": "786-703-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-646-1111",
            "fax_number": "786-703-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ LARA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-646-1111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3888",
            "identifier": "NUMBER",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Medical Center & Research Inc
• Life Medical Center Services Inc
• Life Medical Rehabilitation Corp
• Life Medical Savers, Inc.
• Life Medical Services Inc
• Life Pharmacy and Discount LLC
• Life Physical Therapy, LLC
• Life Residential LLC
• Life Skills Management Services LLC
• Life Spring Research Foundation

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.