Active NPIOrganization

Lifespan Pharmacy, LLC

Pharmacy, Community/Retail Pharmacy in Providence, Rhode Island

NPI Number1295148625
Practice location
164 Summit Ave, Providence, RI 02906-2853
Fax
401-793-5601
Last updated
September 24, 2024

Lifespan Pharmacy, LLC is a healthcare organization based in Providence, RI. Lifespan Pharmacy, LLC practices in Providence, RI. The NPI Number for Lifespan Pharmacy, LLC is 1295148625 and holds a License No. PHA00565 (RI). The current practice location address for Lifespan Pharmacy, LLC is 164 Summit Ave, Providence, RI 02906-2853 and can be reached out via phone at 401-793-5500 and via fax at 401-793-5601.

Provider Profile Details

NPI Number
1295148625
Provider Name
Lifespan Pharmacy, LLC
Provider Entity Type
Organization
Address
164 Summit Ave, Providence, RI 02906-2853
Phone Number
401-793-5500
Fax Number
401-793-5601
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Peter K Markell · Evp & Cfo · 401-444-7914
Other Names
Brown University Health Pharmacy (Doing Business As)
Lifespan Pharmacy (Doing Business As)
Provider Enumeration Date
June 3, 2014
Last Update Date
September 24, 2024
Certification Date
September 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
164 Summit Ave
Providence, RI 02906-2853
Zip
02906-2853
Phone Number
401-793-5500
Fax Number
401-793-5601
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
164 Summit Ave
Providence, RI 02906-2853
City
Providence
State
RI
Zip
02906-2853
Phone Number
401-793-5500
Fax Number
401-793-5601

License Information

Taxonomy (1)
Pharmacy · 333600000X
License Number (2)
PHA00565
License State (2)
RI
Taxonomy (2)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lifespan Pharmacy, LLC?

The NPI number of Lifespan Pharmacy, LLC is 1295148625. It was assigned on June 3, 2014 and is currently active in the NPPES registry.

What is the specialty of Lifespan Pharmacy, LLC?

Lifespan Pharmacy, LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in RI under license number PHA00565.

Where does Lifespan Pharmacy, LLC practice?

The practice location is 164 Summit Ave, Providence, RI 02906-2853. The office can be reached at 401-793-5500 (phone) or 401-793-5601 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295148625 directly on the NPPES registry website.

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