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LIFESPAN PHARMACY LLC
NPI 1093968448
Pharmacy - Long Term Care Pharmacy in Indianapolis, IN

Active since October 29, 2008
9900 WESTPOINT DRIVE, SUITE 100, INDIANAPOLIS, IN 46256(317) 841-0388(317) 841-0733 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2023, Oct 17, 2022, Dec 7, 2015 (3 updates tracked since 2015).

About Lifespan Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPAN PHARMACY LLC (NPI 1093968448), doing business as Skilled Care Of Indiana Llc, is a healthcare organization registered as a long term care pharmacy in Indianapolis, Indiana and active in the NPI registry since October 2008. The organization lists Kathy L Headley, Chairperson Of The Board, as its authorized official.

NPPES Registry Identity

NPI1093968448
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLIFESPAN PHARMACY LLC
Location Address9900 WESTPOINT DRIVE, SUITE 100Indianapolis, IN 46256-3358
Mailing Address2749 East Covenanter DriveBloomington, IN 47401-5454 · (812) 961-2326 · Fax (317) 841-0733
Phone(317) 841-0388
Fax(317) 841-0733
Organization SubpartNo
Authorized OfficialKathy L HeadleyChairperson Of The Board · (812) 961-2326
Enumeration DateOctober 29, 2008
Last NPPES UpdateFebruary 16, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
✔ NPI 1093968448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in IN · 600061169B
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X
9900 WESTPOINT DRIVE, Indianapolis, IN 46256
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Other Names 1

Former Legal Business NameSkilled Care Of Indiana Llc

Other Identifiers 5

Other2117622Pk
Other60006848AIN · Pharmacy License
Medicaid200925240AIN
Other60006848BIN · Csr-pharmacy
Medicaid200925240IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespan Pharmacy LLC's NPI number?

The NPI number for Lifespan Pharmacy LLC is 1093968448. It was assigned to this organization in the NPPES registry on October 29, 2008. The provider was formerly known as Skilled Care Of Indiana LLC.

Where is Lifespan Pharmacy LLC located?

Lifespan Pharmacy LLC is located at 9900 Westpoint Drive Suite 100, Indianapolis, IN 46256. The listed phone number is (317) 841-0388.

What is Lifespan Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Lifespan Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Lifespan Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifespan Pharmacy LLC was last updated on February 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.