Organization
LL PHARMA INC
Active
Other names
LIFELINE RX
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN K CHENNA (PRESIDENT)
(551) 998-2115
Entity
Organization
Contact information
Practice address
9252 KENNEDY BLVD UNIT 3, NORTH BERGEN, NJ 07047-9300
(201) 624-8015
(201) 624-8016
Mailing address
9252 KENNEDY BLVD UNIT 3, NORTH BERGEN, NJ 07047-9300
(201) 624-8015
(201) 624-8016
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00737000
NJ
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007350
—
OH
05
—
0981346
—
NJ
Enumeration date
11/11/2014
Last updated
05/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us