THE LIVING WELL HEALTH CENTER - DOWNTOWN PLAZA
NPI 1023469228
Pharmacy in Winston Salem, NC

NPI Status: Active since June 29, 2016

Contact Information

401 N MAIN ST
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 741-5106

Get Directions Write a Review

  • Organization
  • Pharmacy
  • CLIA Number: 34D2033025
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-20-2027

About THE LIVING WELL HEALTH CENTER - DOWNTOWN PLAZA

This page provides the complete NPI Profile along with additional information for The Living Well Health Center - Downtown Plaza, a provider established in Winston Salem, North Carolina operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1023469228 assigned on June 2016. The practitioner's primary taxonomy code is 333600000X with license number 12513 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as The Living Well Health Center - Downtown Plaza. The authorized official of this NPI record is Joyce Jensen (Director Site Operations)

NPI
1023469228
Provider Legal Name
PREMISE HEALTH
Other Organization Name
THE LIVING WELL HEALTH CENTER - DOWNTOWN PLAZA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
401 N MAIN ST WINSTON SALEM, NC 27101
Location Phone
(336) 741-5106
Mailing Address
475 SUMMIT SQUARE BLVD WINSTON SALEM, NC 27105
Mailing Phone
(336) 377-3979
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2016
Last Update Date
06-29-2016
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
12513
License State
NC
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0002XSuppliers

Pharmacy
Clinic Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOYCE JENSEN

Authorized Official Title
DIRECTOR SITE OPERATIONS
Authorized Official Phone
(904) 401-1175

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2160657OTHER (01)PK

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2033025
Facility Type
Physician Office
Certificate Effective Date
November 21, 2025
Certificate Expiration Date
November 20, 2027
Laboratory Director
JENNIFER HARRELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Living Well Health Center - Downtown Plaza to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for THE LIVING WELL HEALTH CENTER - DOWNTOWN PLAZA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023469228, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 8 + 6 + 1 + 8 + 2 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1023469228.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
401 N MAIN ST
WINSTON SALEM, NC 27101
General Practice
401 N MAIN ST
WINSTON SALEM, NC 27101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023469228, enumerated as an "organization" on June 29, 2016.

The provider is located at 401 N MAIN ST WINSTON SALEM, NC 27101 and the phone number is (336) 741-5106.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.