Living Well Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031311 Issued in NY

Legal business name

LIVING WELL PHARMACY INC

Practice address

3555 Victory Blvd
Staten Island, NY 10314-6764

Phone

(718) 477-5483

Fax

(718) 477-5480

NPI assigned

Aug 11, 2012

Organization subpart

No

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

Authorized official

Name

Denise Kane-Lipari, RPHNPI 1306010301

Title

Supervising Pharmacist

Phone

(718) 477-5483

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Living Well Pharmacy Doing business as

Locations

Practitioners 2

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

• Denise Kane-Lipari, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1306010301
  NPD (past) Authorized official
• Irina Bok, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1407188436
  NPD (past)

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1346597192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146764",
            "telephone_number": "718-477-5483",
            "fax_number": "718-477-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146764",
            "telephone_number": "718-477-5483",
            "fax_number": "718-477-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-11",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "KANE-LIPARI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-477-5483",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03749213",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Liu
• Jian Hui Liu
• Spencer David Liu, M.D.
• Susan Mu-Shine Liu, RN
• Live, Laugh, Move OT P.C.
• Suzanne Livolsi, L.M.S.W.
• Christopher Dougan Liwanag, RN
• David Hugh Liwanag, REGISTERED NURSE
• Kellie Anne Liwanag, RN
• Delakshi T Liyanagamage

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.