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LIFE CHANGE PHARMACY 2
NPI 1952965576
Pharmacy - Community/Retail Pharmacy in Milwaukee, WI

Active since April 29, 2019
7115 W CAPITOL DR, MILWAUKEE, WI 53216(414) 600-2000(414) 600-0414 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 15, 2021, Dec 29, 2020, Apr 29, 2019 (3 updates tracked since 2019).

About Life Change Pharmacy 2 NPPES

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

LIFE CHANGE PHARMACY 2 (NPI 1952965576) is a healthcare organization registered as a community/retail pharmacy in Milwaukee, Wisconsin and active in the NPI registry since April 2019. The organization lists Ali A Ali, C-owner, as its authorized official.

NPPES Registry Identity

NPI1952965576
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIFE CHANGE RX 1 LLC
Location Address7115 W CAPITOL DRMilwaukee, WI 53216-2051
Mailing Address1844 S 15th StMilwaukee, WI 53204-3225 · (414) 600-2000 · Fax (414) 600-0414
Phone(414) 600-2000
Fax(414) 600-0414
Organization SubpartNo
Authorized OfficialAli A AliC-owner · (414) 600-2000
Enumeration DateApril 29, 2019
Last NPPES UpdateJanuary 15, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1952965576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
7115 W CAPITOL DR, Milwaukee, WI 53216
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Other Names 1

Doing Business AsLife Change Pharmacy 2

Other Identifiers 1

Medicaid100071374WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Change Pharmacy 2 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20220124000157Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

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

LIFE CHANGE RX 3 LLC
Pharmacy (Community/Retail Pharmacy)
7115 W CAPITOL DR
MILWAUKEE, WI 53216
Milwaukee County (414) 999-0999

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 1 LLC's NPI number?

The NPI number for Life Change Rx 1 LLC is 1952965576. It was assigned to this organization in the NPPES registry on April 29, 2019. The provider is doing business as Life Change Pharmacy 2.

Where is Life Change Rx 1 LLC located?

Life Change Rx 1 LLC is located at 7115 W Capitol Dr, Milwaukee, WI 53216. The listed phone number is (414) 600-2000.

What is Life Change Rx 1 LLC's specialty?

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

Is Life Change Rx 1 LLC enrolled in Medicare?

Yes. Life Change Rx 1 LLC is registered in the Medicare PECOS enrollment system.

When is Life Change Rx 1 LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Mass Immunization (Roster Biller Only)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Life Change Rx 1 LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers list Life Change Rx 1 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 1 LLC was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.