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MYLYFE INC. NPI 1679035315


NPI Information

NPI: 1679035315
Provider Name: MYLYFE INC.

Doing Business As: MYLYFE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
31 MOODY RD
ENFIELD, CT
ZIP 06082
Phone: (844) 469-5933
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MYLYFE INC. is a pharmacy in Enfield, CT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MYLYFE INC. NPI is 1679035315. The provider is registered as an organization entity type.
The provider Is Doing Business As Mylyfe Pharmacy.

The provider's business location address is:

31 MOODY RD
ENFIELD, CT
ZIP 06082-101
Phone: (844) 469-5933

The provider's authorized official is Jeffrey Lagasse .
The authorized official title is Chief Operating Officer and has the following contact phone number (844) 469-5933.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 1/26/2021.


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
1251F00000XHome InfusionNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyNo
53336M0002XPharmacyMail Order PharmacyNo
63336S0011XPharmacySpecialty PharmacyNo
7333600000XPharmacyYes

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
11679035315MEDICAIDCONNECTICUT

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: 4/28/2024

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.