Active NPI
Livewell Pharmacy LLC
- Community/Retail Pharmacy
- Lenoir City, TN
National Provider Identifier
1659673689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 4824
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4443785 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- LIVEWELL PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.