OrganizationActive
Lifespan Pharmacy Inc
NPI 1477725398 · Specialty Pharmacy · Dallas, TX
Provider details
- NPI number
- 1477725398
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gina Renna, Owner/Officer(214) 303-1888
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Pharmacy333600000X
Suppliers
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1341 W Mockingbird Ln
Suite 304w
Dallas, TX 75247
Phone: (214) 220-0007
Fax: (214) 220-2850
Street-level locationGet directions
Mailing address
1341 W Mockingbird Ln
Dallas, TX 75247
Other names (DBA / former)
- Doing business as
- Lifespan Pharmacy
- Doing business as
- Lifespan Pharmacy
Registry dates
- Enumerated
- 2008-04-01
- Last updated
- 2018-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.