Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Extension Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1467530873

Life Extension Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5990 N Federal Hwy
Fort Lauderdale, FL 33308-2633
Phone: (877) 877-9700
Fax: (877) 877-9708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH22301 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Mail Order Pharmacy Taxonomy 3336M0002X

Record details

NPI number1467530873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Kamburian — Paralegal · (954) 202-7729
Other names Life Extension Pharmacy Inc
NPI enumeratedNovember 2, 2006
Last updated in NPPESMarch 4, 2015
Mailing address3600 W Commercial Blvd, Fort Lauderdale, FL 33309-3338

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