LA VIDA DISCOUNT PHARMACY INC NPI 1154719524

NPI Information

  • NPI: 1154719524
  • Provider Name: LA VIDA DISCOUNT PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 39D2248868
  • Address: 3204 KENSINGTON AVE FL 1
    1ST FL
    PHILADELPHIA, PA
    ZIP 19134
  • Phone: (215) 427-1603

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NPI Details

LA VIDA DISCOUNT PHARMACY INC is a community/retail pharmacy pharmacy in Philadelphia, PA. 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. LA VIDA DISCOUNT PHARMACY INC NPI is 1154719524. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3204 KENSINGTON AVE FL 1
1ST FL
PHILADELPHIA, PA
ZIP 19134-918
Phone: (215) 427-1603
Fax: (215) 427-3590

The provider's authorized official is Patrick Assifuah .
The authorized official title is Pharmacy Owner and has the following contact phone number (862) 215-3414.

The CLIA number assigned to this NPI record is 39D2248868 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2015 and was last updated on 9/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPP482534PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12149600OTHERPK
2103007788MEDICAIDPENNSYLVANIA

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: 11/21/2025

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