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LIFESMART PHARMACY LLC
NPI 1104300862
Pharmacy - Community/Retail Pharmacy in Lincoln Park, MI

Active since September 19, 2018
2176 FORT ST, LINCOLN PARK, MI 48146(313) 768-5858(313) 768-5868 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Jul 12, 2023, Nov 21, 2018 and 1 more (4 updates tracked since 2018).

About Lifesmart Pharmacy Llc NPPES

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

LIFESMART PHARMACY LLC (NPI 1104300862) is a healthcare organization registered as a community/retail pharmacy in Lincoln Park, Michigan and active in the NPI registry since September 2018. The organization lists Adham Mallah, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1104300862
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIFESMART PHARMACY LLC
Location Address2176 FORT STLincoln Park, MI 48146-2405
Mailing Address2176 Fort StLincoln Park, MI 48146-2405 · (313) 768-5096 · Fax (313) 768-5098
Phone(313) 768-5858
Fax(313) 768-5868
Organization SubpartNo
Authorized OfficialAdham MallahOwner/president · (313) 478-7823
Enumeration DateSeptember 19, 2018
Last NPPES UpdateSeptember 8, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1104300862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
2176 FORT ST, Lincoln Park, MI 48146
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Avera Health Plans, Baylor Scott and White Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHASHI K MALIK, MD, PC
Internal Medicine
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 381-0713
KIMBERLY ANN BUATTI FNP
Nurse Practitioner (Family)
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 768-5096
EMILY NIEMI
Physician Assistant
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 768-3290
DR. SHASHI KANTA MALIK M.D.
Internal Medicine
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 381-0713
LIFESMART MEDICAL CENTER PLLC
Clinic/Center (Primary Care)
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 768-5096
PRIMARY HEALTHCARE DOCTORS PLLC
Clinic/Center (Urgent Care)
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 499-8556
DEEPTHI RAJAN PA-C
Family Medicine (Adult Medicine)
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 388-1666
LINCOLN PARK RX PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2176 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 768-5858

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 Lifesmart Pharmacy LLC's NPI number?

The NPI number for Lifesmart Pharmacy LLC is 1104300862. It was assigned to this organization in the NPPES registry on September 19, 2018.

Where is Lifesmart Pharmacy LLC located?

Lifesmart Pharmacy LLC is located at 2176 Fort St, Lincoln Park, MI 48146. The listed phone number is (313) 768-5858.

What is Lifesmart Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Lifesmart Pharmacy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Wyoming and 16 other insurers list Lifesmart 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 Lifesmart Pharmacy LLC was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.