Organization Active NPI

Livewell Pharmacy LLC

  • Community/Retail Pharmacy
  • Lenoir City, TN
National Provider Identifier
1659673689
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4824 Issued in TN
Legal business name
LIVEWELL PHARMACY LLC
Doing business as
LIVEWELL PHARMACY
Practice address
460 Medical Park Dr Ste 101
Lenoir City, TN 37772-5782
Phone
(865) 986-5483
Fax
(865) 986-7461
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Keith Alleman
Title
Owner/Pharmacist
Phone
(865) 406-4942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4824 TN Primary

Addresses

Primary practice location

460 Medical Park Dr Ste 101
Lenoir City, TN 37772-5782

Mailing address

460 Medical Park Dr
Suite 101
Lenoir City, TN 37772-5782
Phone (865) 986-5483

Other identifiers 1

IdentifierTypeStateIssuer
4443785OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LIVEWELL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

460 Medical Park Dr
Ste 101
Lenoir City, TN 37772
Phone (865) 328-2482

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1659673689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 101",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-986-5483",
            "fax_number": "865-986-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR STE 101",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-986-5483",
            "fax_number": "865-986-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "ALLEMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "865-406-4942"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4443785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVEWELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.