Life Tree Pharmacy Services Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LIFE TREE PHARMACY SERVICES INC

Practice address

5 Blue Heron Dr
Collegeville, PA 19426-2057

Phone

(484) 973-6805

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Mark Francis Taglianetti, RPH

Title

Ceo

Phone

(484) 973-6805

Specialties & licenses 1

Addresses

Other names 1

• Life Tree Pharmacy Doing business as

Tax ID family

Life Tree Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Life Tree Pharmacy Services Incorporated

  • Long Term Care Pharmacy
  • Broussard, LA
  • NPI 1124595558
  NPD tax ID
• Life Tree Pharmacy Services Incorporated

  • Long Term Care Pharmacy
  • Santa Maria, CA
  • NPI 1538975909
  NPD tax ID

Locations

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1982244745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLUE HERON DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262057",
            "telephone_number": "484-973-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BLUE HERON DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262057",
            "telephone_number": "484-973-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TREE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "TAGLIANETTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-973-6805",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaune K Lewis
• Rongshan Li, MD
• Melanie Liberatore, NP-C
• Catherine Dulay Lichtenstein, DDS
• Haven Odette Liegel
• Life Tree Pharmacy Services Incorporated
• Catina S Light
• Lighthouse Healthcare LLC
• Andrew Moss Lippa, M.D., PH.D.
• Debbie Sharrow Lombardi, M.S.

• Pharmacy in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.