Active NPI
Livewell Inc
Doing business as Cannon Pharmacy
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kannapolis, NC
National Provider Identifier
1689925299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 08881
- Legal business name
- LIVEWELL INC
- Doing business as
- Cannon Pharmacy
- Practice address
- 1706 S Cannon Blvd
Kannapolis, NC 28083-6104 - Phone
- (704) 933-6337
- Fax
- (704) 933-6374
- NPI assigned
- Sep 21, 2012
- 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
- Mr. George William Veltri, R.PH.
- Title
- Pharmacist
- Phone
- (704) 933-6337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 08881 | NC | Primary |
Addresses
Primary practice location
1706 S Cannon Blvd
Kannapolis, NC 28083-6104
Mailing address
1706 S Cannon Blvd
Kannapolis, NC 28083-6104
Phone (704) 933-6337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135919 | Medicaid | NC |
Other names 1
- Cannon Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Cannon Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Compounding Pharmacy
- Kannapolis, NC
- NPI 1285918086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348185600000",
"number": "1689925299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836104",
"telephone_number": "704-933-6337",
"fax_number": "704-933-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836104",
"telephone_number": "704-933-6337",
"fax_number": "704-933-6374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVEWELL INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-21",
"last_updated": "2012-09-21",
"status": "A",
"authorized_official_last_name": "VELTRI",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "704-933-6337",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "08881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0135919",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cannon Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kannapolis, NC
- Robert Michael Levy, MD
- Jennifer Lindley, LPC-A
- James Floyd Litaker, DC
- Jenna Little, LPCA
- Lively Therapy Services
- Livewell Inc (Cannon Pharmacy Ebenezer Rd)
- Livewell Inc (Cannon Pharmacy)
- Livewell, Inc. Dba Cannon Pharmacy Compounding
- Living Water Counseling Associates, PA
- Andrea Claire Lockard, MS, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.