LIFESCRIPT PHARMACY NPI 1558717199

NPI Information

  • NPI: 1558717199
  • Provider Name: LIFESCRIPT PHARMACY
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: LIFESCRIPT PHARMACY
  • Address: 39039 PASEO PADRE PKWY STE 201
    FREMONT, CA
    ZIP 94538
  • Phone: (510) 967-7951

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NPI Details

LIFESCRIPT PHARMACY is a long term care pharmacy pharmacy in Fremont, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LIFESCRIPT PHARMACY NPI is 1558717199. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifescript Pharmacy.

The provider's business location address is:

39039 PASEO PADRE PKWY STE 201
FREMONT, CA
ZIP 94538-618
Phone: (510) 967-7951

The provider's authorized official is Joseph Dalavai .
The authorized official title is Ceo and has the following contact phone number (510) 878-7562.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 5/12/2016 and was last updated on 4/17/2019.

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
23336L0003XPharmacyLong Term Care Pharmacy54286CALIFORNIAYes

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
12160217OTHERPK

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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