Individual provider Active NPI

Christian John Livengood, PHARMD

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1992320147
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03439308 Issued in OH
Practice address
4530 Kenny Rd
Columbus, OH 43220-3509
Phone
(614) 326-0689
Fax
(614) 326-0718
NPI assigned
Jun 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03439308 OH Primary

Addresses

Primary practice location

4530 Kenny Rd
Columbus, OH 43220-3509

Mailing address

4530 Kenny Rd
Columbus, OH 43220-3509
Phone (614) 326-0689

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.09540@store.walgreens.com Health Information Exchange (HIE) WALGREEN CO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03439308OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1992320147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203509",
            "telephone_number": "614-326-0689",
            "fax_number": "614-326-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203509",
            "telephone_number": "614-326-0689",
            "fax_number": "614-326-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "CHRISTIAN",
        "middle_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03439308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.09540@store.walgreens.com",
            "affiliation": "Y",
            "endpointDescription": "Walgreens Pharmacy Email",
            "affiliationName": "WALGREEN CO",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4530 Kenny Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432203509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.