Provider Type Icon

LIFESPAN PHARMACY INC NPI 1477725398


NPI Information

NPI: 1477725398
Provider Name: LIFESPAN PHARMACY INC

Doing Business As: LIFESPAN PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
1341 W MOCKINGBIRD LN
SUITE 304W
DALLAS, TX
ZIP 75247
Phone: (214) 220-0007
Get Directions

LIFESPAN PHARMACY INC is a specialty pharmacy pharmacy in Dallas, TX. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. LIFESPAN PHARMACY INC NPI is 1477725398. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifespan Pharmacy.

The provider's business location address is:

1341 W MOCKINGBIRD LN
SUITE 304W
DALLAS, TX
ZIP 75247
Phone: (214) 220-0007
Fax: (214) 220-2850

The provider's authorized official is Gina Renna .
The authorized official title is Owner/officer and has the following contact phone number (214) 303-1888.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 8/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
2333600000XPharmacyTEXASNo
33336C0003XPharmacyCommunity/Retail Pharmacy24217TEXASNo
43336S0011XPharmacySpecialty PharmacyNo
53336S0011XPharmacySpecialty PharmacyTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14525688OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.