MEDLIFE PHARMACY LLC (NPI# 1114545571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114545571 |
Entity Type | Organization |
Organization Name | MEDLIFE PHARMACY LLC |
Other Organization Name | MEDLIFE PHARMACY |
Practice Address |
213 Highway 37 Ste 200&300 Mount Vernon TX 75457-3106 |
Mailing Address |
3310 Lamar Ave Ste B Paris TX 75460-5024 |
Practice Telephone | 9037065065 |
Mailing Telephone | 9037065065 |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |
Authorized Official Name | MR. MACHENDER R KANDADI (MANAGER/OWNER) |
Authorized Official Telephone | 9037065065 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
MEDLIFE PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114343597 | Medlife Pharmacy LLC | Pharmacy | 736 S Dillard St Unit C, Winter Garden, FL 34787-3908 | 2014-03-10 |
Street Address |
213 HIGHWAY 37 STE 200&300 |
City | MOUNT VERNON |
State | TX |
Zip Code | 75457-3106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084299 | Jean Woel Latortue | Family Medicine | 506 State Tx Hwy 37, Mount Vernon, TX 75457 | 2020-08-17 |
1881214054 | Wmac Group LLC | Supports Brokerage | 285 Cr Ne 2050, Mount Vernon, TX 75457 | 2020-04-17 |
1053957936 | Mckenna Medders | Specialist/Technologist | 523 Hwy 37 S, Mt. Vernon, TX 75457 | 2019-11-26 |
1245766948 | Diamond Briones | Physical Therapy Assistant | 107 East Dallas Street, Mt. Vernon, TX 75457 | 2017-05-02 |
1194114546 | Tigerx LLC | Pharmacy | 405 Highway 37 South, Mount Vernon, TX 75457 | 2015-01-22 |
1760736698 | Rule Pediatric Therapy Services | Home Health | 400 A Kaufman Street, Mt. Vernon, TX 75457 | 2012-10-30 |
1053672931 | Cassie Cochran | Physical Therapy Assistant | 400 North Kaufman, 400a, Mount Pleasant, TX 75457 | 2012-06-06 |
1578861985 | Daniel Carr | Counselor | 707 Highway 37 South, Mount Vernon, TX 75457 | 2011-03-09 |
1245468727 | Eak Good Neighbor Properties | Technician | 10 Cr Ne 2070, Mount Vernon, TX 75457 | 2009-06-23 |
1780892257 | Don R. Huffstetler | Dentist | 508 Highway 37 S, Mount Vernon, TX 75457 | 2007-05-18 |
Find all providers in zip 75457 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
1811040918 | Brown & Cole Stores LLC | Pharmacy | 1515 N 18th St, Mount Vernon, WA 98273-2675 | 2007-01-19 |
1649374695 | Marco Pharmacy and Optical Inc | Pharmacy | 4121 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-09-12 |
1992808695 | Hook Superx LLC | Pharmacy | 700 E 4th St, Mount Vernon, IN 47620-2011 | 2006-09-07 |
1467555235 | Highland Park Cvs, L.L.C. | Pharmacy | 2700 Broadway St, Mount Vernon, IL 62864-2342 | 2006-09-07 |
1316970650 | Haggen, Inc | Pharmacy | 2601 E Division St, Mount Vernon, WA 98274-4748 | 2006-07-09 |
1417923012 | Mt Vernon Community Pharmacy Inc | Pharmacy | 2339 Broadway St, Mount Vernon, IL 62864-2925 | 2006-02-24 |
1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
1639644156 | Mabd Enterprises, LLC | Pharmacy | 115 W Spring St, Mount Vernon, GA 30445-2957 | 2018-10-11 |
1952827537 | Walgreen Co | Pharmacy | 47 E Prospect Ave, Mount Vernon, NY 10550-2225 | 2017-08-16 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 75457 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.