Livernois RX, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27324 Issued in TX

Legal business name

LIVERNOIS RX, INC.

Doing business as

ImprimisRx
Livernois Rx

Practice address

1105 Central Expwy N
Suite 2110
Allen, TX 75013

Phone

(844) 370-8581

Fax

(469) 675-3427

NPI assigned

Jan 14, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert G Haywood

Title

President

Phone

(972) 930-5254

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• ImprimisRx Doing business as
• Livernois Rx Doing business as

Locations

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508161910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPWY N.",
            "address_2": "SUITE 2110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "469-656-7987",
            "fax_number": "469-421-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPWY N",
            "address_2": "SUITE 2110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "844-370-8581",
            "fax_number": "469-675-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERNOIS RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-930-5254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27324",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5902285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "27324",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImprimisRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Livernois Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Allen, TX
• Providers in Allen, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.