LIFECARE PHARMACY LLC (NPI# 1972603827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972603827 |
| Entity Type | Organization |
| Organization Name | LIFECARE PHARMACY LLC |
| Practice Address |
3050 E Desert Inn Rd Ste 124 Las Vegas NV 89121-3873 |
| Practice Telephone | 7026972105 |
| Practice Fax Number | 7026972107 |
| Mailing Telephone | 7026972105 |
| Mailing Fax Number | 7026972107 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | CLETUS AMADI (OWNER/CEO/AO/PIC) |
| Authorized Official Telephone | 7026972105 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH01798 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2052110 | 01 | |
| NV | 1972603827 | 05 |
| Street Address |
3050 E DESERT INN RD STE 124 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1922303692 | Option Care Enterprises, Inc | Pharmacy | 4708 W Sahara Ave, Las Vegas, NV 89102 | 2011-01-11 |
| 1487978136 | Fvs Holdins Inc | Pharmacy | 6370 W Flamingo Rd Ste 1, Las Vegas, NV 89103-2274 | 2010-03-24 |
| 1023242559 | Advanced Pharmacy Staffing | Pharmacy | 6295 Harrison Dr, Suite 3, Las Vegas, NV 89120-4045 | 2009-05-12 |
| 1801965017 | Apria Healthcare, Inc. | Pharmacy | 3955 W Mesa Vista Ave, Suite 1, Las Vegas, NV 89118-2338 | 2006-11-06 |
| 1720099369 | Tlgrx Corporation | Pharmacy | 8579 S Eastern Ave Ste B, Las Vegas, NV 89123-2887 | 2006-08-10 |
| 1396255949 | Level Care Pharmacy I LLC | Pharmacy | 212 Carpenters Union Way Ste 500, Las Vegas, NV 89119 | 2017-10-10 |
| 1568637783 | Spring Valley Pharmacy | Pharmacy | 2725 S Jones Blvd, Ste 101, Las Vegas, NV 89146-5667 | 2008-04-29 |
| 1306042841 | Children's Shoe World | Pharmacy | 1924 E Sahara Ave, Las Vegas, NV 89104-3843 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173033 | Gtmi Corporation | Pharmacy | 1510 W Sunset Rd Ste 120, Henderson, NV 89014-2695 | 2015-09-07 |
| 1912205378 | Shoshone Paiute Tribes | Pharmacy | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2011-03-09 |
| 1952608812 | Guided Alliance Pharmacy Inc | Pharmacy | 7025 Longley Ln, Suite 30-a, Reno, NV 89511-1238 | 2011-02-11 |
| 1831683655 | Tango, Inc | Pharmacy | 4090 W Craig Rd Ste 101, North Las Vegas, NV 89032-2758 | 2018-06-15 |
| 1699183939 | Atlas Specialty Pharmacy | Pharmacy | 301 N Pecos Rd, Henderson, NV 89074-1349 | 2014-07-31 |
| 1063516425 | Arlington Aquisition I, Inc. | Pharmacy | 6630 S Mccarran Blvd, #14, Reno, NV 89509-6135 | 2006-09-07 |
Please comment or provide details below to improve the information on LIFECARE PHARMACY LLC.
| 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.