OrganizationActive
Lifetime Pharmacy, LLC
NPI 1831998467 · Long Term Care Pharmacy · Mishawaka, IN
Provider details
- NPI number
- 1831998467
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Hassan Fakih, Owner/Pic(574) 318-4195
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
212 W Edison Rd Ste a
Mishawaka, IN 46545-8301
Phone: (574) 318-4195
Fax: (574) 318-4936
Street-level locationGet directions
Mailing address
19120 Oakmont South Dr
South Bend, IN 46637-3529
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.