OrganizationActive
Life Tree Pharmacy Services Incorporated
NPI 1124595558 · Long Term Care Pharmacy · Broussard, LA
Life Tree Pharmacy Services Incorporated is a Long Term Care Pharmacy organization in Broussard, LA (NPI 1124595558).
Provider details
- NPI number
- 1124595558
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mark Taglianetti, Ceo(610) 489-6640
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
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
120 Park Center Drive
Broussard, LA 70518-3605
Phone: (610) 489-6640
Fax: (610) 489-6645
Street-level locationGet directions
Mailing address
5 Blue Heron Drive
Collegeville, PA 19426-2057
Registry dates
- Enumerated
- 2018-10-24
- Last updated
- 2019-07-17
Frequently asked questions
- What is Life Tree Pharmacy Services Incorporated's NPI number?
- Life Tree Pharmacy Services Incorporated's National Provider Identifier (NPI) is 1124595558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Tree Pharmacy Services Incorporated?
- Life Tree Pharmacy Services Incorporated is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Life Tree Pharmacy Services Incorporated located?
- Life Tree Pharmacy Services Incorporated's practice location on file with NPPES is 120 Park Center Drive, Broussard, LA 70518-3605.
- What is Life Tree Pharmacy Services Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Life Tree Pharmacy Services Incorporated is (610) 489-6640.
- Who is the authorized official for Life Tree Pharmacy Services Incorporated?
- The authorized official listed on Life Tree Pharmacy Services Incorporated's NPPES record is Mark Taglianetti, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Tree Pharmacy Services Incorporated's NPI active?
- Yes — Life Tree Pharmacy Services Incorporated's NPI (1124595558) is active in the NPPES registry as of the last update on 2019-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.