Live Well Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIVE WELL PHARMACY INC

Practice address

15871 Pomona Rincon Rd Ste 110
Chino Hills, CA 91709-5563

Phone

(909) 325-2211

Fax

(909) 325-2141

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jake W Chuang, PHARM DNPI 1376997585

Title

President/Pic

Phone

(909) 325-2211

Specialties & licenses 1

Addresses

Other names 1

• LIVE WELL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jake Chuang, PHARMD

  • Pharmacist
  • Los Angeles, CA
  • NPI 1376997585
  NPD Authorized official

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1306307707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15871 POMONA RINCON RD STE 110",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095563",
            "telephone_number": "909-325-2211",
            "fax_number": "909-325-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15871 POMONA RINCON RD STE 110",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095563",
            "telephone_number": "909-325-2211",
            "fax_number": "909-325-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "909-325-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE WELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atalie Whitney Liu, OD
• Emily Liu, OD
• Jason Liu
• Terrence Edward Liu, M.D.
• Yen-Fu James Liu, M.D.
• Livewell Therapy, Inc.
• Andrew Valle Lopez
• Danielle Kayleen Lopez
• Heidy Viviana Lopez
• Ivana Lopez

• Community/Retail Pharmacy in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.