LIVEWELL INC (NPI# 1194034678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194034678 |
| Entity Type | Organization |
| Organization Name | LIVEWELL INC |
| Other Organization Name | CANNON PHARMACY-CONCORD |
| Practice Address |
760 Cabarrus Ave W W Concord NC 28027-6851 |
| Mailing Address |
760 Cabarrus Ave W Concord NC 28027-6851 |
| Practice Telephone | 7047886337 |
| Practice Fax Number | 7049336338 |
| Mailing Telephone | 7047886337 |
| Mailing Fax Number | 7049336338 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | BRIAN FREEMAN (PRESIDENT) |
| Authorized Official Telephone | 7049336337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10595 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126626 | 01 |
| Other Name | Type Code |
|---|---|
| Cannon Pharmacy-Concord | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811134869 | Livewell Inc | Pharmacy | 521 E Plaza Dr, Mooresville, NC 28115-8071 | 2009-01-13 |
| 1730358896 | Livewell Inc | Pharmacy | 1402 N Cannon Blvd, Kannapolis, NC 28083-2662 | 2008-02-22 |
| 1043350556 | Livewell Inc | Pharmacy | 2334 South Blvd, Charlotte, NC 28203-5008 | 2007-02-07 |
| 1992802839 | Livewell Inc | Pharmacy | 1706 S Cannon Blvd, Kannapolis, NC 28083-6104 | 2006-09-20 |
| 1558468488 | Livewell Inc | Pharmacy | 4501 Cameron Valley Pkwy Ste 125, Charlotte, NC 28211-4299 | 2006-09-20 |
| 1689925299 | Livewell Inc | Pharmacist | 1706 S Cannon Blvd, Kannapolis, NC 28083-6104 | 2012-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LIVEWELL INC. | 696 Hawthorne Ave Ne, Salem, OR 97301 |
| Street Address |
760 CABARRUS AVE W W |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-6851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851365 | Zachary Inge | Pharmacist | 760 Cabarrus Ave W, Concord, NC 28027-6851 | 2020-11-06 |
| 1609488832 | Devan Conley | Pharmacist | 760 Cabarrus Ave W, Concord, NC 28027-6851 | 2020-08-19 |
| 1669957171 | Elena Stambone | Pharmacist | 760 Cabarrus Ave W, Concord, NC 28027-6851 | 2018-10-01 |
| 1306389358 | Donald Joshua Young | Pharmacist | 760 Cabarrus Ave W, Concord, NC 28027-6851 | 2016-11-23 |
| 1629421029 | Truecarerx, LLC | Durable Medical Equipment & Medical Supplies | 760 Cabarrus Ave W, Concord, NC 28027-6851 | 2016-07-20 |
| 1588048714 | Truecarerx LLC | Pharmacy | 760 Cabarrus Ave W, W, Concord, NC 28027-6851 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525551 | Genoa Healthcare, LLC | Pharmacy | 10 West St Ste P, Concord, NH 03301-3548 | 2018-07-20 |
| 1700385648 | Pharm90, LLC | Pharmacy | 1800 Monument Blvd Ste L, Concord, CA 94520-3871 | 2018-02-06 |
| 1619299146 | Kmart Corporation | Pharmacy | 545 Concord Pkwy N, Concord, NC 28027-6738 | 2010-02-25 |
| 1588991954 | Tsp First Health LLC | Pharmacy | 2030 Diamond Blvd, Concord, CA 94520-5702 | 2009-11-05 |
| 1912043829 | Modern Pharmacy | Pharmacy | 5 Clinton St, Concord, NH 03301-2303 | 2007-01-29 |
| 1609939438 | Geer Enterprises, Inc. | Pharmacy | 807 Davidson Dr Nw, Concord, NC 28025-4351 | 2006-12-19 |
| 1376642728 | Cvs Pharmacy Inc | Pharmacy | 199 Sudbury Rd, Concord, MA 01742-3466 | 2006-09-22 |
| 1295838977 | North Carolina Cvs Pharmacy LLC | Pharmacy | 931 Concord Pkwy N, Concord, NC 28027-5944 | 2006-09-07 |
| 1841300456 | Costco Wholesale Corporation | Pharmacy | 2400 Monument Blvd, Concord, CA 94520 | 2006-08-30 |
| 1922015924 | Walgreen Co | Pharmacy | 5230 Poplar Tent Rd, Concord, NC 28027-7757 | 2006-08-02 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on LIVEWELL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.