Livewell Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08881 Issued in NC

Legal business name

LIVEWELL INC

Practice address

1706 S Cannon Blvd
Kannapolis, NC 28083-6104

Phone

(704) 933-6337

Fax

(704) 933-6374

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Brian Freeman

Title

President Pic

Phone

(704) 933-6337

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CANNON PHARMACY Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1992802839",
    "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": "2006-09-20",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT PIC",
        "authorized_official_telephone_number": "704-933-6337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135919",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANNON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Floyd Litaker, DC
• Jenna Little, LPCA
• Lively Therapy Services
• Livewell Inc
• Livewell Inc
• Livewell, Inc. Dba Cannon Pharmacy Compounding
• Living Water Counseling Associates, PA
• Andrea Claire Lockard, MS, RDN
• Logan Hope and Healing LLC
• Timothy Long, D.C.

• Community/Retail Pharmacy in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.