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LIFE CHANGE RX LLC
NPI 1205544913
Pharmacy - Long Term Care Pharmacy in Milwaukee, WI

Active since November 10, 2022CLIA 52D2183519 · Waiver
1844 S 15TH ST, MILWAUKEE, WI 53204(414) 999-0999(414) 562-6888 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Life Change Rx Llc NPPES

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

LIFE CHANGE RX LLC (NPI 1205544913), doing business as Life Change Pharmacy 1 Long Term Care, is a healthcare organization registered as a long term care pharmacy in Milwaukee, Wisconsin and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Ali Ahmed Nafea Ali, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1205544913
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLIFE CHANGE RX LLC
Location Address1844 S 15TH STMilwaukee, WI 53204-3225
Mailing Address1844 S 15th StMilwaukee, WI 53204-3225 · (414) 999-0999 · Fax (414) 562-6888
Phone(414) 999-0999
Fax(414) 562-6888
Organization SubpartNo
Authorized OfficialAli Ahmed Nafea AliCo-owner · (414) 999-0999
Enumeration DateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1205544913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
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.
1844 S 15TH ST, Milwaukee, WI 53204
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Other Names 1

Doing Business AsLife Change Pharmacy 1 Long Term Care

Other Identifiers 1

Medicaid100071374WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

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 52D2183519

Life Change Pharmacy 1 · Milwaukee, WI
Active · expires May 5, 2028
CLIA Number52D2183519
Laboratory TypePharmacy
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorMohamed El Sheikh
Laboratory Phone(414) 999-0999
Laboratory LocationLife Change Pharmacy 11844 S 15th St, Milwaukee, WI 53204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LIFE CHANGE RX LLC
Pharmacy
1844 S 15TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 335-4617
NISREEN HUSSEIN RPH
Pharmacist
1844 S 15TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 999-0999
MARIA CALADIAO
Pharmacist
1844 S 15TH ST
MILWAUKEE, WI 53204
Milwaukee County (414) 600-2000

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 Life Change Rx LLC's NPI number?

The NPI number for Life Change Rx LLC is 1205544913. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider is doing business as Life Change Pharmacy 1 Long term care.

Where is Life Change Rx LLC located?

Life Change Rx LLC is located at 1844 S 15th St, Milwaukee, WI 53204. The listed phone number is (414) 999-0999.

What is Life Change Rx LLC's specialty?

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

Does Life Change Rx LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2183519) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Life Change Rx LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 15 other insurers list Life Change Rx 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 Life Change Rx LLC was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.