LIVE WELL PHARMACY LLC (NPI# 1306159579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306159579 |
Entity Type | Organization |
Organization Name | LIVE WELL PHARMACY LLC |
Other Organization Name | LIVE WELL PHARMACY |
Practice Address |
2453 Grant Ave Philadelphia PA 19114-1004 |
Practice Telephone | 2154379255 |
Practice Fax Number | 2159417910 |
Mailing Telephone | 2154379255 |
Mailing Fax Number | 2159417910 |
Enumeration Date | 2010-07-16 |
Last Update Date | 2014-05-06 |
Authorized Official Name | KAREN LUU (OWNER/PIC/PHCY MGR) |
Authorized Official Telephone | 2154379255 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482041 | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2125849 | 01 | |
PA | 1024829300001 | 05 |
Other Name | Type Code |
---|---|
LIVE WELL PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558916502 | Live Well Pharmacy LLC | Pharmacy | 4200 Stuart St, Greenville, TX 75401-5759 | 2019-08-07 |
Street Address |
2453 GRANT AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19114-1004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
Find all providers in zip 19114 |
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 |
---|---|---|---|---|
1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
1295355428 | Joe's Pharmacy | Pharmacy | 2401 Pennsylvania Ave Ste 1d7, Philadelphia, PA 19130-3000 | 2020-04-17 |
1114559713 | Broad and Snyder Pharmacy P C | Pharmacy | 2108 S Broad St Fl 1, Philadelphia, PA 19145-3905 | 2020-02-11 |
1194355172 | Wyoming Pharmacy LLC | Pharmacy | 333 E Wyoming Ave, Philadelphia, PA 19120-4434 | 2020-01-18 |
1154951267 | Nextdoor Community Pharmacy Inc | Pharmacy | 814 1/2 N 40th St, Philadelphia, PA 19104-4802 | 2020-01-17 |
1962048678 | Capsule Philadelphia LLC | Pharmacy | 117 S 20th St, Philadelphia, PA 19103-4606 | 2019-11-18 |
1891330031 | Penncare Pharmacy | Pharmacy | 416 Oak Ln, Philadelphia, PA 19126-3136 | 2019-11-12 |
1043871874 | Ritechoice Pharmacy V, LLC | Pharmacy | 5201 Haverford Ave Fl 1, Philadelphia, PA 19139-1401 | 2019-06-24 |
1366000564 | Allegheny Plaza Pharmacy | Pharmacy | 400 W Allegheny Ave # B2, Philadelphia, PA 19133-3614 | 2019-06-03 |
1770146367 | Medly Pharmacy Pa Inc. | Pharmacy | 1222 Walnut St, Philadelphia, PA 19107-5466 | 2019-04-18 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19114 |
Please comment or provide details below to improve the information on LIVE 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.