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CANNON PHARMACY-SEDGEFIELD
NPI 1043350556
Pharmacy - Community/Retail Pharmacy in Charlotte, NC

Active since February 07, 2007CLIA Certified · 2 labs
2334 SOUTH BLVD, CHARLOTTE, NC 28203(704) 523-8608(704) 523-8619 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cannon Pharmacy-sedgefield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANNON PHARMACY-SEDGEFIELD (NPI 1043350556) is a healthcare organization registered as a community/retail pharmacy in Charlotte, North Carolina and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Brian Freeman, President Pic, as its authorized official.

NPPES Registry Identity

NPI1043350556
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIVEWELL INC
Location Address2334 SOUTH BLVDCharlotte, NC 28203-5008
Mailing Address2334 South BlvdCharlotte, NC 28203-5008 · (704) 523-8608 · Fax (704) 523-8619
Phone(704) 523-8608
Fax(704) 523-8619
Organization SubpartNo
Authorized OfficialBrian FreemanPresident Pic · (704) 933-6337
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1043350556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 10527
Definition
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.
2334 SOUTH BLVD, Charlotte, NC 28203
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Other Names 1

Doing Business AsCannon Pharmacy-sedgefield

Other Identifiers 1

Other3401863Ncpdp Provider Identification Number

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2006827

Cannon Pharmacy · Charlotte, NC
Active · expires Apr 29, 2028
CLIA Number34D2006827
Laboratory TypePharmacy
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorHelen Mahairas
Laboratory Phone(704) 938-5237
Laboratory LocationCannon Pharmacy2334 South Blvd, Charlotte, NC 28203
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1082528

Cannon Pharmacy · Kannapolis, NC
Active · expires Apr 10, 2028
CLIA Number34D1082528
Laboratory TypePharmacy
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorBrian L. Freeman
Laboratory Phone(704) 933-6337
Laboratory LocationCannon Pharmacy1706 S Cannon Boulevard, Kannapolis, NC 28083
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HELEN MAHAIRAS MOFFAT RPH
Pharmacist
2334 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 523-8608
LLHAN, LLC
Pharmacy (Long Term Care Pharmacy)
2334 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 523-8608
LLHAN LLC
Pharmacy (Community/Retail Pharmacy)
2334 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 523-8607
MRS. AMANDA HUDGINS FUNDERBURG PHARMD
Pharmacist
2334 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 523-8608
LL HAN, LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2334 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 523-8608
ELLIOTT M. GIFFEN II RPH
Pharmacist
2334 SOUTH BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 523-8608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Livewell Inc's NPI number?

The NPI number for Livewell Inc is 1043350556. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Cannon Pharmacy-Sedgefield.

Where is Livewell Inc located?

Livewell Inc is located at 2334 South Blvd, Charlotte, NC 28203. The listed phone number is (704) 523-8608.

What is Livewell Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Livewell Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Livewell Inc was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.