OrganizationActive
Lifesmart Pharmacy LLC
NPI 1104300862 · Community/Retail Pharmacy · Lincoln Park, MI
Lifesmart Pharmacy LLC is a Community/Retail Pharmacy organization in Lincoln Park, MI (NPI 1104300862).
Provider details
- NPI number
- 1104300862
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Adham Mallah, Owner/President(313) 478-7823
Specialties & taxonomies
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2176 Fort St
Lincoln Park, MI 48146-2405
Phone: (313) 768-5858
Fax: (313) 768-5868
Street-level locationGet directions
Mailing address
2176 Fort St
Lincoln Park, MI 48146-2405
Registry dates
- Enumerated
- 2018-09-19
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Frequently asked questions
- What is Lifesmart Pharmacy LLC's NPI number?
- Lifesmart Pharmacy LLC's National Provider Identifier (NPI) is 1104300862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifesmart Pharmacy LLC?
- Lifesmart Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lifesmart Pharmacy LLC located?
- Lifesmart Pharmacy LLC's practice location on file with NPPES is 2176 Fort St, Lincoln Park, MI 48146-2405.
- What is Lifesmart Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifesmart Pharmacy LLC is (313) 768-5858.
- Who is the authorized official for Lifesmart Pharmacy LLC?
- The authorized official listed on Lifesmart Pharmacy LLC's NPPES record is Adham Mallah, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifesmart Pharmacy LLC's NPI active?
- Yes — Lifesmart Pharmacy LLC's NPI (1104300862) is active in the NPPES registry as of the last update on 2023-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.