Lifespan Pharmacy LLC
NPI 1093968448 · Long Term Care Pharmacy · Indianapolis, IN
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifespan Pharmacy LLC is a Long Term Care Pharmacy organization in Indianapolis, IN (NPI 1093968448).
Provider details
- NPI number
- 1093968448
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kathy Headley, Chairperson of the Board(812) 961-2326
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Institutional Pharmacy3336I0012X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Skilled Care of Indiana LLC
Registry dates
- Enumerated
- 2008-10-29
- Last updated
- 2023-02-16
- Certified
- 2023-02-16
Frequently asked questions
- What is Lifespan Pharmacy LLC's NPI number?
- Lifespan Pharmacy LLC's National Provider Identifier (NPI) is 1093968448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifespan Pharmacy LLC?
- Lifespan Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Lifespan Pharmacy LLC located?
- Lifespan Pharmacy LLC's practice location on file with NPPES is 9900 Westpoint Drive, Indianapolis, IN 46256-3358.
- What is Lifespan Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifespan Pharmacy LLC is (317) 841-0388.
- Does Lifespan Pharmacy LLC accept Medicare?
- Lifespan Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifespan Pharmacy LLC?
- The authorized official listed on Lifespan Pharmacy LLC's NPPES record is Kathy Headley, Chairperson of the Board. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifespan Pharmacy LLC's NPI active?
- Yes — Lifespan Pharmacy LLC's NPI (1093968448) is active in the NPPES registry as of the last update on 2023-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.