Lifecare Pharmacy LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

LIFECARE PHARMACY LLC

Practice address

3050 E Desert Inn Rd Ste 124
Las Vegas, NV 89121-3873

Phone

(702) 697-2105

Fax

(702) 697-2107

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Cletus Onye Amadi, R.PH.

Title

Pharmacist /Owner

Phone

(702) 697-2105

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• LifeCare Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Care N Home Pharmacy2 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.

• Lifecare Pharmacy, LLC

  • Specialty Pharmacy
  • Las Vegas, NV
  • NPI 1750788816
  NPD tax ID

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1972603827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 E DESERT INN RD STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213873",
            "telephone_number": "702-697-2105",
            "fax_number": "702-697-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E DESERT INN RD STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213873",
            "telephone_number": "702-697-2105",
            "fax_number": "702-697-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "CLETUS",
        "authorized_official_middle_name": "ONYE",
        "authorized_official_title_or_position": "PHARMACIST /OWNER",
        "authorized_official_telephone_number": "702-697-2105",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972603827",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeCare Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifecare Hospital at Tenaya LLC
• Lifecare Infusion Inc.
• Lifecare Medical Supplies Inc
• Lifecare Medical Supplies West Inc
• Lifecare Partners
• Lifecare Pharmacy, LLC
• Lifecare, LLC.
• Lifefirst Pharmacy
• Lifeline Health Services
• Lifelink Medical Supply LLC

• Home Infusion Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Infusion Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.