Organization Active NPI

Lifechek Huntsville LLC

  • Community/Retail Pharmacy
  • Sealy, TX
National Provider Identifier
1962517169
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23753 Issued in TX
Legal business name
LIFECHEK HUNTSVILLE LLC
Doing business as
LIFECHEK
Practice address
307 Main St
Sealy, TX 77474-2330
Phone
(979) 627-7271
Fax
(979) 627-7052
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
LIFECHEK AUCHAN PARTNERS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 23753 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

307 Main St
Sealy, TX 77474-2330

Mailing address

307 Main St
Sealy, TX 77474-2330
Phone (979) 627-7271

Other identifiers 2

IdentifierTypeStateIssuer
2103932OtherPK
466104MedicaidTX

Other names 1

  • LIFECHEK Doing business as

National Provider Directory

National Provider Directory
Part of
Lifechek Auchan Partners LTD

Locations

307 Main St
Sealy, TX 77474
Phone (979) 627-7271

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1962517169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774742330",
            "telephone_number": "979-627-7271",
            "fax_number": "979-627-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774742330",
            "telephone_number": "979-627-7271",
            "fax_number": "979-627-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHEK HUNTSVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECHEK AUCHAN PARTNERS LTD",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-06-25",
        "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": "23753",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECHEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sealy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.