National Provider Identifier Database

LIFELINE INFUSION SERVICES INC
Home Infusion Therapy Pharmacy

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.


Contact Information

LIFELINE INFUSION SERVICES, INC.
559 MIDDLE RD
BAYPORT, NY11705-1931
Phone: 631-472-2929
Fax: 631-472-6882
Website:
Specialty Taxonomy Code
* Home Infusion Therapy Pharmacy 3336H0001X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for LIFELINE INFUSION SERVICES, INC.

NPI Number 1982639530
Legal business name
LBN
LIFELINE INFUSION SERVICES, INC.
Authorized official RUSSELL MARTIN - (SECRETARY/TREASURER)
Entity Organization
Organization subpart No
Enumeration date 07/12/2006
Last updated 08/15/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 021626
  • NY Medicaid: 01420626
  • Other: 2063801 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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