LIVEWELL, INC. DBA CANNON PHARMACY COMPOUNDING
NPI 1285918086
Pharmacy - Compounding Pharmacy in Kannapolis, NC

Active since September 29, 2011
563 JACKSON PARK RD, KANNAPOLIS, NC 28083(704) 932-5050(704) 933-7758 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Livewell, Inc. Dba Cannon Pharmacy Compounding NPPES

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

LIVEWELL, INC. DBA CANNON PHARMACY COMPOUNDING (NPI 1285918086) is a healthcare organization registered as a compounding pharmacy in Kannapolis, North Carolina and active in the NPI registry since September 2011. The organization lists Matt Miller, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1285918086
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameLIVEWELL, INC. DBA CANNON PHARMACY COMPOUNDING
Location Address563 JACKSON PARK RDKannapolis, NC 28083-3657
Mailing Address563 Jackson Park RdKannapolis, NC 28083-3657 · (704) 932-5050 · Fax (704) 933-7758
Fax(704) 933-7758
Organization SubpartNo
Authorized OfficialMatt MillerCo-owner · (704) 658-9870
Enumeration DateSeptember 29, 2011
NPI 1285918086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in NC · 11070
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
563 JACKSON PARK RD, Kannapolis, NC 28083

Other Providers at the Same Location NPPES 2

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

Pharmacy (Compounding Pharmacy)
563 JACKSON PARK RD
KANNAPOLIS, NC 28083
Pharmacist
563 JACKSON PARK RD
KANNAPOLIS, NC 28083

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. Dba Cannon Pharmacy Compounding's NPI number?

The NPI number for Livewell, Inc. Dba Cannon Pharmacy Compounding is 1285918086. It was assigned to this organization in the NPPES registry on September 29, 2011.

Where is Livewell, Inc. Dba Cannon Pharmacy Compounding located?

Livewell, Inc. Dba Cannon Pharmacy Compounding is located at 563 Jackson Park Rd, Kannapolis, NC 28083. The listed phone number is (704) 932-5050.

What is Livewell, Inc. Dba Cannon Pharmacy Compounding's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Livewell, Inc. Dba Cannon Pharmacy Compounding was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.