LA VIDA DISCOUNT PHARMACY INC
NPI 1154719524
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Active since January 07, 2015CLIA 39D2248868 · Waiver
3204 KENSINGTON AVE FL 1, 1ST FL, PHILADELPHIA, PA 19134(215) 427-1603(215) 427-3590 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018 (2 updates tracked since 2018).

About La Vida Discount Pharmacy Inc NPPES

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

LA VIDA DISCOUNT PHARMACY INC (NPI 1154719524), doing business as La Vida Discount Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Patrick Assifuah, Pharmacy Owner, as its authorized official.

NPPES Registry Identity

NPI1154719524
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLA VIDA DISCOUNT PHARMACY INC
Location Address3204 KENSINGTON AVE FL 1, 1ST FLPhiladelphia, PA 19134-1918
Mailing Address3204 Kensignton Ave, 1st FlPhiladelphia, PA 19134 · (215) 427-1603
Fax(215) 427-3590
Organization SubpartNo
Authorized OfficialPatrick AssifuahPharmacy Owner · (862) 215-3414
Enumeration DateJanuary 7, 2015
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPI 1154719524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in PA · PP482534
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3204 KENSINGTON AVE FL 1, Philadelphia, PA 19134

Other Names 1

Doing Business AsLa Vida Discount Pharmacy

Other Identifiers 2

Other2149600Pk
Medicaid103007788PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2248868

La Vida Discounty Pharmacy · Philadelphia, PA
Active · expires Jan 17, 2028
CLIA Number39D2248868
Laboratory TypePharmacy
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorEdward O. Okebiorun
Laboratory Phone(215) 427-1603
Laboratory LocationLa Vida Discounty Pharmacy2363 E Allegheny Avenue, Philadelphia, PA 19134
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 La Vida Discount Pharmacy Inc's NPI number?

The NPI number for La Vida Discount Pharmacy Inc is 1154719524. It was assigned to this organization in the NPPES registry on January 7, 2015. The provider is doing business as La Vida Discount Pharmacy.

Where is La Vida Discount Pharmacy Inc located?

La Vida Discount Pharmacy Inc is located at 3204 Kensington Ave Fl 1 1st Fl, Philadelphia, PA 19134. The listed phone number is (215) 427-1603.

What is La Vida Discount Pharmacy Inc's specialty?

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

Does La Vida Discount Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2248868) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Vida Discount Pharmacy Inc was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.