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LIVE OAKS OCTAGON, LLC
NPI 1154778199
Pharmacy in Charlotte, NC

Active since May 19, 2016
13521 STEELECROFT PKWY, CHARLOTTE, NC 28278(646) 729-7578(980) 256-4715 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Live Oaks Octagon, Llc NPPES

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

LIVE OAKS OCTAGON, LLC (NPI 1154778199) is a healthcare organization registered as a pharmacy in Charlotte, North Carolina and active in the NPI registry since May 2016. The organization lists Tom Mullen, Manager, as its authorized official.

NPPES Registry Identity

NPI1154778199
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLIVE OAKS OCTAGON
Location Address13521 STEELECROFT PKWYCharlotte, NC 28278-7551
Mailing Address13521 Steelecroft Pkwy, Suite BCharlotte, NC 28278-7551 · (646) 729-7578 · Fax (980) 256-4715
Phone(646) 729-7578
Fax(980) 256-4715
Organization SubpartNo
Authorized OfficialTom MullenManager · (646) 729-7578
Enumeration DateMay 19, 2016
Last NPPES UpdateAugust 2, 2016
✔ NPI 1154778199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
13521 STEELECROFT PKWY, Charlotte, NC 28278
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Other Names 1

Doing Business AsLive Oaks Octagon, Llc

Other Identifiers 1

Other2160273Pk

Other Providers at the Same Location NPPES 4

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

SHEILA MARIE ARAUJO FNP-BC
Nurse Practitioner (Family)
13521 STEELECROFT PKWY
CHARLOTTE, NC 28278
Mecklenburg County (704) 315-5845
CLEAR VIEW EYE CARE OD PA
Optometrist
13521 STEELECROFT PKWY, SUITE B
CHARLOTTE, NC 28278
Mecklenburg County (704) 708-5659
YVETTE WALKER N.P.
Nurse Practitioner (Family)
13521 STEELECROFT PKWY
CHARLOTTE, NC 28278
Mecklenburg County (704) 315-5845
DR. STEPHANIE LYNN JACKSON DDS, MS
Dentist (General Practice)
13521 STEELECROFT PKWY, SUITE 100
CHARLOTTE, NC 28278
Mecklenburg County (704) 714-5380

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 Live Oaks Octagon's NPI number?

The NPI number for Live Oaks Octagon is 1154778199. It was assigned to this organization in the NPPES registry on May 19, 2016. The provider is doing business as Live Oaks Octagon, LLC.

Where is Live Oaks Octagon located?

Live Oaks Octagon is located at 13521 Steelecroft Pkwy, Charlotte, NC 28278. The listed phone number is (646) 729-7578.

What is Live Oaks Octagon's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Live Oaks Octagon was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.