Lifeline Pharmacy Incorporated
NPI 1962244657 · Pharmacy · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifeline Pharmacy Incorporated is a Pharmacy organization in Staten Island, NY (NPI 1962244657).
Provider details
- NPI number
- 1962244657
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sadia Khan, President(845) 314-0270
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Lifeline Pharmacy Incorporated's NPI number?
- Lifeline Pharmacy Incorporated's National Provider Identifier (NPI) is 1962244657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifeline Pharmacy Incorporated?
- Lifeline Pharmacy Incorporated is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Lifeline Pharmacy Incorporated located?
- Lifeline Pharmacy Incorporated's practice location on file with NPPES is 1807 Victory Blvd, Staten Island, NY 10314-3515.
- What is Lifeline Pharmacy Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Lifeline Pharmacy Incorporated is (845) 314-0270.
- Does Lifeline Pharmacy Incorporated accept Medicare?
- Lifeline Pharmacy Incorporated 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 Lifeline Pharmacy Incorporated?
- The authorized official listed on Lifeline Pharmacy Incorporated's NPPES record is Sadia Khan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifeline Pharmacy Incorporated's NPI active?
- Yes — Lifeline Pharmacy Incorporated's NPI (1962244657) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.