Lifespan Pharmacy, Llc
Community/Retail Pharmacy
164 Summit Ave, Providence
Rhode Island, 02906-2853
401-793-5500 401-793-5601
Lifespan Pharmacy, Llc is a Community/Retail Pharmacy in Providence, Rhode Island. It is located at 164 Summit Ave, Providence and it's customer support contact number is 401-793-5500. The authorized person of Lifespan Pharmacy, Llc is Peter K Markell who is Evp & Cfo of the pharmacy and his contact number is 401-444-7914. Active license number of Lifespan Pharmacy, Llc is PHA00565 for Community/Retail Pharmacy in Rhode Island. Lifespan Pharmacy, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lifespan Pharmacy, Llc is 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.
Pharmacy Details:
Lifespan Pharmacy, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lifespan Pharmacy, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 164 Summit Ave, Providence,
Rhode Island, 02906-2853 |
| Phone: | 401-793-5500 |
| Fax: | 401-793-5601 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Peter K Markell |
| Position: | Evp & Cfo |
| Contact Number: | 401-444-7914 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1295148625 |
| NPI Enumeration Date: | 03 Jun, 2014 |
| NPI Last Update On: | 24 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifespan Pharmacy, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHA00565 | Rhode Island | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2146592 | Other | | Pk |
| LI00239 | Medicaid | Rhode Island | |
Medicare Enrollment:
Lifespan Pharmacy, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0446485486 | O20150615000324 | Lifespan Pharmacy Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 164 Summit Ave,
Providence, Rhode Island |
| Zip: | 02906-2853 |
| Phone Number: | 401-793-5500 |
| Fax Number: | 401-793-5601 |
Patients can reach Lifespan Pharmacy, Llc at
164 Summit Ave, Providence, Rhode Island or can
call on customer care at 401-793-5500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.