Lifespan Pharmacy, LLC
NPI 1629622634 · Specialty Pharmacy · Providence, RI
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifespan Pharmacy, LLC is a Specialty Pharmacy organization in Providence, RI (NPI 1629622634).
Provider details
- NPI number
- 1629622634
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Peter Markell, Evp & Cfo(401) 444-7914
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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)
- Doing business as
- Brown University Health Pharmacy
Registry dates
- Enumerated
- 2019-07-29
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Frequently asked questions
- What is Lifespan Pharmacy, LLC's NPI number?
- Lifespan Pharmacy, LLC's National Provider Identifier (NPI) is 1629622634, 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 Specialty Pharmacy (Suppliers).
- Where is Lifespan Pharmacy, LLC located?
- Lifespan Pharmacy, LLC's practice location on file with NPPES is 117 Chapman St Ste 200, Providence, RI 02905-5400.
- What is Lifespan Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifespan Pharmacy, LLC is (401) 444-9909.
- 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 Peter Markell, Evp & Cfo. 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 (1629622634) is active in the NPPES registry as of the last update on 2024-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.