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BROWN UNIVERSITY HEALTH PHARMACY
NPI 1295148625
Pharmacy - Community/Retail Pharmacy in Providence, RI

Active since June 03, 2014
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-5500(401) 793-5601 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2024, Oct 22, 2021, Dec 27, 2018 and 1 more (4 updates tracked since 2016).

About Brown University Health Pharmacy NPPES

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

BROWN UNIVERSITY HEALTH PHARMACY (NPI 1295148625) is a healthcare organization registered as a community/retail pharmacy in Providence, Rhode Island and active in the NPI registry since June 2014. The organization lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1295148625
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIFESPAN PHARMACY, LLC
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing Address164 Summit AveProvidence, RI 02906-2853 · (401) 793-5500 · Fax (401) 793-5601
Phone(401) 793-5500
Fax(401) 793-5601
Organization SubpartNo
Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914
Enumeration DateJune 3, 2014
Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1295148625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in RI · PHA00565
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
164 SUMMIT AVE, Providence, RI 02906
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Other Names 2

Doing Business AsBrown University Health Pharmacy
Doing Business AsLifespan Pharmacy

Other Identifiers 2

Other2146592Pk
MedicaidLI00239RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Brown University Health Pharmacy carries, from the Medicare DMEPOS supplier directory.

Brown University Health Pharmacy

DMEPOS supplier · Providence, RIOperated by Lifespan Pharmacy LLC
✔

Accepts Medicare assignment

Brown University Health Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20409095
Medicare Participant SinceJanuary 1, 2021
Supplier Location164 Summit AveProvidence, RI 02906
Phone(401) 444-8646
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

MRS. HALINA KUC-MAZGAJ
Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Providence County (401) 793-3902
KARL HERMAN M.D.
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MUHAMMAD BAIG M.D.
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MS. LEANNE LAPARLE LICSW
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-2069
THOMAS FAIRWEATHER CRAIN MD
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4630
JAMES ATKINSON MD
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500
DR. ORIANE DIANA LONGERSTAEY MD
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (704) 355-3181
JEFFREY M BUROCK MD
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500

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 1295148625. It was assigned to this organization in the NPPES registry on June 3, 2014. The provider is doing business as Brown University Health Pharmacy and Lifespan Pharmacy.

Where is Lifespan Pharmacy, LLC located?

Lifespan Pharmacy, LLC is located at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-5500.

What is Lifespan Pharmacy, LLC's specialty?

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

Does Lifespan Pharmacy, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Brown University Health Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lifespan Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 31 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 September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.