Lifespan Pharmacy, LLC
NPI 1629622634ActiveOrganization· Pharmacy, Specialty Pharmacy· Providence, RI
Pharmacy, Specialty Pharmacy in Providence, Rhode Island, registered in NPPES in July 2019. The authorized official on file is Peter K. Markell, Evp & Cfo. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1629622634 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2019 |
| Last updated in NPPES | Sep 24, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (RI) |
|---|