LIFELINE RX LLC
NPI 1467018952
Pharmacy - Home Infusion Therapy Pharmacy in West New York, NJ

Active since May 10, 2019
5408 PARK AVE, WEST NEW YORK, NJ 07093(201) 624-8015(201) 624-8016 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Home Infusion Therapy Pharmacy

About LIFELINE RX LLC

This page provides the complete NPI Profile along with additional information for Lifeline Rx Llc, a provider established in West New York, New Jersey operating as a Pharmacy, focusing in home infusion therapy pharmacy . The healthcare provider is registered in the NPI registry with number 1467018952 assigned on May 2019. The practitioner's primary taxonomy code is 3336H0001X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Malkiyel Davydov (Managing Member)

NPI
1467018952 Verify this NPI
Provider Name
LIFELINE RX LLC
Entity Type
Organization
Location Address
5408 PARK AVE WEST NEW YORK, NJ 07093
Location Phone
(201) 624-8015
Location Fax
(201) 624-8016
Mailing Address
5408 PARK AVE WEST NEW YORK, NJ 07093
Mailing Phone
(201) 624-8015
Mailing Fax
(201) 624-8016
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2019
Last Update Date
05-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Home Infusion Therapy Pharmacy

Taxonomy Code
3336H0001X
Type
Suppliers
Taxonomy Description
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MALKIYEL DAVYDOV

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(201) 624-8015

Reviews for LIFELINE RX LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
5408 PARK AVE
WEST NEW YORK, NJ 07093
Durable Medical Equipment & Medical Supplies
5408 PARK AVE
WEST NEW YORK, NJ 07093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467018952, enumerated as an "organization" on May 10, 2019.

The provider is located at 5408 PARK AVE WEST NEW YORK, NJ 07093 and the phone number is (201) 624-8015.

Pharmacy with taxonomy code 3336H0001X and a focus in Home Infusion Therapy Pharmacy.