Living Well Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIVING WELL PHARMACY

Practice address

1203 E Sunrise Blvd
Fort Lauderdale, FL 33304-2810

Phone

(954) 501-5451

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Williams

Title

Pharmacist

Phone

(954) 501-5451

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1417209396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042810",
            "telephone_number": "954-501-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042810",
            "telephone_number": "954-501-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "954-501-5451"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Anew Day LLC
• John Russell Livengood, M.D.
• Living Water Wellness Center, LLC
• Living Well Management, Inc
• Living Well Management, Inc
• Kenneth Alan Livingston, MD
• Ayisha Elizabeth Livingstone, M.D.
• Monica Liy, ARNP
• Ynge Ljung, AP
• Alexander Llanos, MD

• Community/Retail Pharmacy in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.