OrganizationActiveAccepts Medicare
Life Star Pharmacy Inc.
NPI 1336652015 · Community/Retail Pharmacy · Bronx, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1336652015
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jose Solano, President(718) 684-5010
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1215 Jerome Ave
Bronx, NY 10452-3301
Phone: (718) 684-5010
Fax: (646) 217-3682
Street-level locationGet directions
Mailing address
1215 Jerome Ave
Bronx, NY 10452-3301
Registry dates
- Enumerated
- 2017-11-16
- Last updated
- 2021-04-01
- Certified
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.