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LIFELINE INFUSION SERVICES INC. NPI 1982639530


NPI Information

NPI: 1982639530
Provider Name: LIFELINE INFUSION SERVICES, INC.

Doing Business As: LIFELINE INFUSION SVCS INC

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
559 MIDDLE RD
BAYPORT, NY
ZIP 11705
Phone: (631) 472-2929
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LIFELINE INFUSION SERVICES, INC. is a home infusion therapy pharmacy pharmacy in Bayport, NY. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. LIFELINE INFUSION SERVICES, INC. NPI is 1982639530. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline Infusion Svcs Inc.

The provider's business location address is:

559 MIDDLE RD
BAYPORT, NY
ZIP 11705-931
Phone: (631) 472-2929
Fax: (631) 472-6882

The provider's authorized official is Russell Martin .
The authorized official title is Secretary/treasurer and has the following contact phone number (631) 472-2929.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/15/2016.


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
13336S0011XPharmacySpecialty PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336H0001XPharmacyHome Infusion Therapy Pharmacy021626NEW YORKYes

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
101420626MEDICAIDNEW YORK
207550MEDICARE PIN
32063801OTHERPK
4B0E631MEDICARE PIN

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: 5/5/2024

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