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LIFESPAN PHARMACY LLC NPI 1144792383


NPI Information

NPI: 1144792383
Provider Name: LIFESPAN PHARMACY LLC

Doing Business As: LIFESPAN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 41D0941668

Address:
180 CORLISS STREET
SUITE A
PROVIDENCE, RI
ZIP 02904
Phone: (401) 444-4909
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LIFESPAN PHARMACY LLC is a community/retail pharmacy pharmacy in Providence, RI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LIFESPAN PHARMACY LLC NPI is 1144792383. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifespan Pharmacy.

The provider's business location address is:

180 CORLISS STREET
SUITE A
PROVIDENCE, RI
ZIP 02904
Phone: (401) 444-4909

The provider's authorized official is David A Kirshner .
The authorized official title is Cfo and has the following contact phone number (401) 444-7914.

The CLIA number assigned to this NPI record is 41D0941668 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/28/2018 and was last updated on 10/22/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

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.