LIFE WELL PHARMACY, LLC (NPI# 1366065278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366065278 |
| Entity Type | Organization |
| Organization Name | LIFE WELL PHARMACY, LLC |
| Practice Address |
2408 Susannah St Ste 3 Johnson City TN 37601-1765 |
| Mailing Address |
288 Laurel Cyn Johnson City TN 37615-4726 |
| Practice Telephone | 4232027870 |
| Practice Fax Number | 4232682011 |
| Mailing Telephone | 2765917035 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | DR. PHILIP BLAKE MUSICK (MEMBER) |
| Authorized Official Telephone | 2765917035 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
2408 SUSANNAH ST STE 3 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1376193631 | Propharmacy. Inc. | Pharmacy | 525 N State of Franklin Rd Ste 12, Johnson City, TN 37604-8213 | 2019-09-18 |
| 1720427180 | Ingles Markets Inc | Pharmacy | 4470 N. Roan St, Johnson City, TN 37604 | 2013-06-19 |
| 1043318686 | Cvs Albany LLC | Pharmacy | 245 269 Harry L Drive, Johnson City, NY 13790 | 2006-09-20 |
| 1144323643 | Tennessee Cvs Pharmacy LLC | Pharmacy | 4209 N Roan St, Johnson City, TN 37601-1114 | 2006-09-07 |
| 1780787499 | Tennessee Cvs Pharmacy LLC | Pharmacy | 840 W Market St, Johnson City, TN 37604-5454 | 2006-09-07 |
| 1760585467 | Tennessee Cvs Pharmacy LLC | Pharmacy | 1940 South Roan St, Johnson City, TN 37601 | 2006-09-07 |
| 1902811557 | Hillcrest Drug Store Inc | Pharmacy | 714 W Market St Ste 103, Johnson City, TN 37604-5483 | 2006-07-30 |
| 1174178982 | Roan Drug Company LLC | Pharmacy | 1301 N Roan St, Johnson City, TN 37601-3941 | 2019-08-08 |
| 1164901898 | National Rx Inc | Pharmacy | 880 Boones Station Rd, Johnson City, TN 37615 | 2018-08-13 |
| 1659808970 | R&j Drug Company | Pharmacy | 105 Broyles Dr Ste A, Johnson City, TN 37601-2542 | 2017-05-17 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on LIFE WELL PHARMACY, LLC.
| 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.