# LL PHARMA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFELINE RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275939746
- **Authorized official:** KIRAN K CHENNA (PRESIDENT)
- **Authorized official phone:** (551) 998-2115

## Contact information

- **Practice address:** 9252 KENNEDY BLVD UNIT 3, NORTH BERGEN, NJ 07047-9300
- **Practice address phone:** (201) 624-8015
- **Practice address fax:** (201) 624-8016
- **Mailing address:** 9252 KENNEDY BLVD UNIT 3, NORTH BERGEN, NJ 07047-9300
- **Mailing address phone:** (201) 624-8015
- **Mailing address fax:** (201) 624-8016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00737000 | NJ | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 05/22/2025