Live Well RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482550 Issued in PA

Legal business name

LIVE WELL RX LLC

Practice address

727 Church LN
Yeadon, PA 19050-3502

Phone

(484) 466-2359

Fax

(484) 466-3650

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Karen Luu

Title

Owner

Phone

(484) 466-2359

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Live Well Pharmacy at Church Ln Doing business as

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1467830786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 SCHOOL LN",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263113",
            "telephone_number": "610-626-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 CHURCH LN",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503502",
            "telephone_number": "484-466-2359",
            "fax_number": "484-466-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-466-2359"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Pharmacy at Church Ln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.