LIFE WELL PHARMACY, LLC
NPI 1316604515
Clinic/Center - Multi-Specialty in Johnson City, TN
About Life Well Pharmacy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE WELL PHARMACY, LLC (NPI 1316604515), doing business as Life Well Health Services, is a healthcare organization registered as a multi-specialty in Johnson City, Tennessee and active in the NPI registry since November 2021. The organization lists Philip Blake Musick, Owner/authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Life Well Pharmacy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Life Well Pharmacy, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Life Well Pharmacy, LLC's NPI number?
The NPI number for Life Well Pharmacy, LLC is 1316604515. It was assigned to this organization in the NPPES registry on November 22, 2021. The provider is doing business as Life Well Health Services.
Where is Life Well Pharmacy, LLC located?
Life Well Pharmacy, LLC is located at 2408 Susannah St Ste 3, Johnson City, TN 37601. The listed phone number is (877) 338-0118.
What is Life Well Pharmacy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Life Well Pharmacy, LLC enrolled in Medicare?
Yes. Life Well Pharmacy, LLC is registered in the Medicare PECOS enrollment system.
When is Life Well Pharmacy, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Life Well Pharmacy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Life Well Pharmacy, LLC, in Addiction Medicine and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Life Well Pharmacy, LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Life Well Pharmacy, Llc · NPI 1316604515
Multi-Specialty organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since November 22, 2021.
## Identity
- **NPI:** 1316604515 (Entity type: Organization)
- **Enumerated:** November 22, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Life Well Health Services (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Philip Musick, OWNER/AUTHORIZED OFFICIAL
## Practice location
- **Address:** 2408 SUSANNAH ST STE 3, Johnson City, TN 37601-1765
- **Phone:** (877) 338-0118 · **Fax:** (423) 268-2011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Addiction Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1316604515) · Data from the CMS NPPES public registry.