Live Well RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011415 Issued in MI

Legal business name

LIVE WELL RX LLC

Practice address

3270 Greenfield Rd Ste 101
Berkley, MI 48072-1161

Phone

(248) 284-6969

Fax

(248) 284-6963

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Kassem Kleit, PHARMDNPI 1245717040

Title

Owner

Phone

(734) 927-2878

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kassem Kleit, PHARMD

  • Pharmacist
  • Berkley, MI
  • NPI 1245717040
  NPD Authorized official
• Ali Hassan Chehab, PHARMD

  • Pharmacist
  • Berkley, MI
  • NPI 1417380353
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1669958427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 GREENFIELD RD STE 101",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721161",
            "telephone_number": "248-284-6969",
            "fax_number": "248-284-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "KLEIT",
        "authorized_official_first_name": "KASSEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-927-2878",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN PHARMACY CS LICENSE",
            "identifier": "5315094600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN PHARMACY LICENSE",
            "identifier": "5301011415",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgina Leamon, MD
• Stacy Michaele Leasure, LMT
• Joney Leonard
• Mary Pauline Liddell, RN
• Lilypad Counseling LLC
• Jillian Lollio
• Sandra Love-Campbell, SWT, CAC1
• Lauri Lundquist, RN
• Maria Rose Macauley, DNP, CRNA
• Shea Mace, PA-C

• Community/Retail Pharmacy in Berkley, MI
• Providers in Berkley, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.