Organization
LALIBELA, LTD
Active
Organization
LALIBELA, LTD
Active
Other names
ELITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV BEREZHINSKY (PRESIDENT)
(267) 226-6896
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE STE 102, PHILADELPHIA, PA 19115-2138
(215) 315-8980
(215) 315-8984
Mailing address
9892 BUSTLETON AVE STE 102, PHILADELPHIA, PA 19115-2138
(267) 939-8449
(215) 560-8996
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482640
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103106169001
—
PA
Enumeration date
05/02/2016
Last updated
06/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up