Edith Uche Livinus

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH022522 Issued in GA

Practice address

773 Highway 138 SW
Suite 13
Riverdale, GA 30296-1599

Phone

(770) 461-9015

NPI assigned

May 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Global Care Pharmacy Inc.

  • Community/Retail Pharmacy
  • Riverdale, GA
  • NPI 1952736514
  NPD
• Piedmont Homecare Services LLC

  • Home Health Agency
  • Riverdale, GA
  • NPI 1528733235
  NPD

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1083050181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MOSS CREEK WALK",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142692",
            "telephone_number": "404-246-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 HIGHWAY 138 SW",
            "address_2": "SUITE 13",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961599",
            "telephone_number": "770-461-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINUS",
        "first_name": "EDITH",
        "middle_name": "UCHE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022522",
            "primary": true
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "GA",
            "license": "RPH022522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Rediscovery Center, LLC
• Lifestyle Therapy Center, LLC
• James L Lindsey
• Michelle Little
• Living Well Healthcare Services LLC
• Jean Lloyd
• Lodestar Obstetrics and Gynecology LTD
• Theordos Logan III
• Brittany Ann Long-Clarke
• Hector H Lopez Jr., M.D.

• Pharmacist in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.