LALIBELA, LTD
NPI 1891140489
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Active since May 02, 2016
9892 BUSTLETON AVE STE 102, PHILADELPHIA, PA 19115(215) 315-8980(215) 315-8984 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Nov 22, 2021, Nov 9, 2021 (3 updates tracked since 2021).

About Lalibela, Ltd NPPES

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

LALIBELA, LTD (NPI 1891140489), doing business as Elite Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since May 2016. The organization lists Yakov Berezhinsky, President, as its authorized official.

NPPES Registry Identity

NPI1891140489
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLALIBELA, LTD
Location Address9892 BUSTLETON AVE STE 102Philadelphia, PA 19115-2138
Mailing Address9892 Bustleton Ave Ste 102Philadelphia, PA 19115-2138 · (267) 939-8449 · Fax (215) 560-8996
Fax(215) 315-8984
Organization SubpartNo
Authorized OfficialYakov BerezhinskyPresident · (267) 226-6896
Enumeration DateMay 2, 2016
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1891140489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in PA · PP482640
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.
9892 BUSTLETON AVE STE 102, Philadelphia, PA 19115

Other Names 1

Doing Business AsElite Pharmacy

Other Identifiers 1

Medicaid103106169001PA

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Long Term Care Pharmacy)
9892 BUSTLETON AVE STE 102
PHILADELPHIA, PA 19115

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 Lalibela, Ltd's NPI number?

The NPI number for Lalibela, Ltd is 1891140489. It was assigned to this organization in the NPPES registry on May 2, 2016. The provider is doing business as Elite Pharmacy.

Where is Lalibela, Ltd located?

Lalibela, Ltd is located at 9892 Bustleton Ave Ste 102, Philadelphia, PA 19115. The listed phone number is (215) 315-8980.

What is Lalibela, Ltd's specialty?

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

What insurance does Lalibela, Ltd 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 Lalibela, Ltd 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 Lalibela, Ltd was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.