LIVING WELL PHARMACY #2 INC (NPI# 1396852935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396852935 |
| Entity Type | Organization |
| Organization Name | LIVING WELL PHARMACY #2 INC |
| Other Organization Name | LIVING WELL EXPRESS PHARMACY |
| Practice Address |
824 Gi Maddox Pkwy Suite B Chatsworth GA 30705-2073 |
| Practice Telephone | 7065171901 |
| Practice Fax Number | 7065172541 |
| Mailing Telephone | 7065171901 |
| Mailing Fax Number | 7065172541 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | PAUL PHILLIP BRYANT (CFO) |
| Authorized Official Telephone | 7064229355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PHRE008958 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 411552342A | 05 |
| Other Name | Type Code |
|---|---|
| Living Well Express Pharmacy | Doing Business As Name - Organization |
| Street Address |
824 GI MADDOX PKWY SUITE B |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679547061 | Charles L Tapley | Family Medicine | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2147 | 2006-02-14 |
| 1730602681 | Guy Kulumanu Goodness | Nurse Practitioner | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2147 | 2017-07-24 |
| 1578776878 | Jeff Viktora | Pharmacist | 824 Gi Maddox Pkwy, Suite B, Chatsworth, GA 30705-2073 | 2007-05-07 |
| 1518029966 | The Health Depot | Clinic/Center | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2073 | 2006-12-14 |
| 1477613990 | Vickie W Chapman | Nurse Practitioner | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2147 | 2006-12-12 |
| 1518924521 | Sarah J Polow | Family Medicine | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2147 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| Find all providers in zip 30705 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558816918 | Jagdeep Singh | Pharmacist | 9952 Independence Ave, Chatsworth, CA 91311-3034 | 2016-08-15 |
| 1851792105 | Heather Jarvis | Pharmacist | 10040 Larwin Ave, Unit 2, Chatsworth, CA 91311-7405 | 2014-09-05 |
| 1831458280 | Manickam Aravagiri | Pharmacist | 10261 Kessler Ave, Chatsworth, CA 91311-3511 | 2012-05-04 |
| 1851673818 | Kevork Shahe Shahinian | Pharmacist | 9528 Topanga Canyon Blvd, Chatsworth, CA 91311-4011 | 2011-09-15 |
| 1538441035 | Haikui Parsamyan | Pharmacist | 11838 Macoda Ln, Chatsworth, CA 91311-1271 | 2011-09-12 |
| 1073812228 | Zenaida T Almalel | Pharmacist | 10120 Mason Ave, Chatsworth, CA 91311-3301 | 2011-03-26 |
| 1518177484 | Heekyung C Kim | Pharmacist | 20628 Mayall St, Chatsworth, CA 91311-3109 | 2007-05-22 |
| 1619005352 | Julie Ann Feltman | Pharmacist | 2976 Highway 76 Ste A, Chatsworth, GA 30705-6982 | 2007-03-02 |
| 1427112887 | Alpha Pharmacy | Pharmacist | 10231a Topanga Canyon Blvd, Chatsworth, CA 91311-2804 | 2006-12-20 |
| 1083268460 | Hollie Hobbs Fowler | Pharmacist | 430 N 3rd Ave, Chatsworth, GA 30705-2540 | 2019-07-24 |
| Find all providers in CHATSWORTH | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
Please comment or provide details below to improve the information on LIVING WELL PHARMACY #2 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.