Livewell Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10595 Issued in NC

Legal business name

LIVEWELL INC

Practice address

760 Cabarrus Ave W
W
Concord, NC 28027-6851

Phone

(704) 788-6337

Fax

(704) 933-6338

NPI assigned

Sep 30, 2010

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

Phone

(704) 933-6337

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Cannon Pharmacy-Concord Doing business as

Locations

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1194034678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CABARRUS AVE W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276851",
            "telephone_number": "704-788-6337",
            "fax_number": "704-933-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CABARRUS AVE W",
            "address_2": "W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276851",
            "telephone_number": "704-788-6337",
            "fax_number": "704-933-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-933-6337"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Pharmacy-Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rozina S Little, LCSWA
• Bing Liu, MD
• Live Your Dreams Everyday
• Live Your Life CLT Counseling PLLC
• Cydney Livengood
• Living Well Senior Care Inc.
• Julie Livingston, LMBT
• Christopher Lloyd, M.S., ED.S., LPCA
• Lafarrell C Lloyd, COTA/L
• Loch Lomond

• Community/Retail Pharmacy in Concord, NC
• Providers in Concord, 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 Dec 19, 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.