Livewell Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10527 Issued in NC

Legal business name

LIVEWELL INC

Practice address

2334 South Blvd
Charlotte, NC 28203-5008

Phone

(704) 523-8608

Fax

(704) 523-8619

NPI assigned

Feb 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Freeman

Title

President Pic

Phone

(704) 933-6337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cannon Pharmacy-Sedgefield Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1043350556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035008",
            "telephone_number": "704-523-8608",
            "fax_number": "704-523-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035008",
            "telephone_number": "704-523-8608",
            "fax_number": "704-523-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT PIC",
        "authorized_official_telephone_number": "704-933-6337"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3401863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Pharmacy-Sedgefield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad A. Livasy, MD
• Live Long Well Care Enterprises LLC
• Live Oaks Octagon
• Live2Love Transportation
• Jonathan Byron Lively, PA
• Livewell Inc
• Livewell Medical Inc
• Living at Ease Incorporated
• Living at Ease Incorporated
• Living Expectantly R.D. LLC

• Community/Retail Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.