LIVE WELL MMA LLC (NPI# 1982102463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982102463 |
| Entity Type | Organization |
| Organization Name | LIVE WELL MMA LLC |
| Other Organization Name | I CARE PHARMACY |
| Practice Address |
17620 Bellflower Blvd Ste B104 Bellflower CA 90706-8001 |
| Practice Telephone | 5628040101 |
| Practice Fax Number | 5628040099 |
| Mailing Telephone | 5628040101 |
| Mailing Fax Number | 5628040099 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | MR. MARK M ADAM (MEMBER/PIC) |
| Authorized Official Telephone | 5628040101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY55946 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| I CARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
17620 BELLFLOWER BLVD STE B104 |
| City | BELLFLOWER |
| State | CA |
| Zip Code | 90706-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526573 | Edward W. Lew Dmd Inc. | Dentist | 17024 Clark Ave Suite C, Bellflower, CA 90706 | 2017-09-05 |
| 1629501226 | Miriam Zuniga Dds Inc | Clinic/Center | 14349 Woodruff Ave, Bellflower, CA 90706 | 2017-04-10 |
| 1528507175 | Michael Dwayne Chubbs | In Home Supportive Care | 15120 Woodruff Avenue, Unit #25, Bellflower, CA 90706 | 2017-02-15 |
| 1407229792 | Lillian Armenta | Case Manager/Care Coordinator | 13536 Cowley Avenue, Bellflower, CA 90706 | 2015-11-09 |
| 1295119568 | Saima Martinez | Dental Assistant | 9719 Cedar St. Apt. 1, Bellflower, CA 90706 | 2015-07-16 |
| 1891198214 | Vanessa Guerra | Counselor | 17800 Woodruff, Bellflower, CA 90706 | 2014-09-30 |
| 1679995534 | Yunsook Cheung Waldman | Dentist | 10318 E. Rosecrans, Bellflower, CA 90706 | 2014-01-13 |
| 1144652736 | Verzhine Elena Trdatyan | Pharmacist | 15740 Woodruff Avenue, Bellflower, CA 90706 | 2013-08-06 |
| 1245579481 | Lynn F Lo | Nurse Practitioner | 16323 Clark Ave., Bell Flower, CA 90706 | 2013-02-07 |
| 1285972240 | Miriam Zuniga-bernardeau | Dentist | 14349 Woodruff Ave., Bellflower, CA 90706 | 2013-01-26 |
| Find all providers in zip 90706 | ||||
| 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 |
|---|---|---|---|---|
| 1700270477 | Apple Rx Pharmacy Inc | Pharmacy | 17601 Lakewood Blvd, Bellflower, CA 90706-6409 | 2015-03-20 |
| 1750315719 | Genesis Pharmacy | Pharmacy | 10504 E. Artesia Blvd., Bellflower, CA 90706-6804 | 2006-07-10 |
| 1619306578 | Walgreens | Pharmacy | 15740 Woodruff Ave, Bellflower, CA 90706-4018 | 2013-11-01 |
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| Find all providers with the same taxonomy | ||||
| City | BELLFLOWER |
| Zip Code | 90706 |
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| 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.