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LIFE WELL PHARMACY, LLC
NPI 1366065278
Pharmacy - Community/Retail Pharmacy in Johnson City, TN

Active since May 27, 2020CLIA 44D2205923 · Waiver
2408 SUSANNAH ST STE 3, JOHNSON CITY, TN 37601(423) 202-7870(423) 268-2011 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2021, Aug 31, 2020, May 27, 2020 (3 updates tracked since 2020).

About Life Well Pharmacy, Llc NPPES

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

LIFE WELL PHARMACY, LLC (NPI 1366065278) is a healthcare organization registered as a community/retail pharmacy in Johnson City, Tennessee and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Philip Blake Musick, Member, as its authorized official.

NPPES Registry Identity

NPI1366065278
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIFE WELL PHARMACY, LLC
Location Address2408 SUSANNAH ST STE 3Johnson City, TN 37601-1765
Mailing Address288 Laurel CynJohnson City, TN 37615-4726 · (276) 591-7035
Phone(423) 202-7870
Fax(423) 268-2011
Organization SubpartNo
Authorized OfficialPhilip Blake MusickMember · (276) 591-7035
Enumeration DateMay 27, 2020
Last NPPES UpdateAugust 6, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1366065278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
2408 SUSANNAH ST STE 3, Johnson City, TN 37601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 44D2205923

Life Well Pharmacy Dba Lifewell Health Services · Johnson City, TN
Active · expires Dec 15, 2026
CLIA Number44D2205923
Laboratory TypePharmacy
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorJenelle V. Musick
Laboratory Phone(423) 202-7870
Laboratory LocationLife Well Pharmacy Dba Lifewell Health Services2408 Susannah St Ste 3, Johnson City, TN 37601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LIFE WELL PHARMACY, LLC
Clinic/Center (Multi-Specialty)
2408 SUSANNAH ST STE 3
JOHNSON CITY, TN 37601
Washington County (877) 338-0118
DR. DAVID ANDERSON EADES PHARM.D.
Pharmacist
2408 SUSANNAH ST STE 3
JOHNSON CITY, TN 37601
Washington County (423) 202-7870
ARATIBEN PATEL
Pharmacist
2408 SUSANNAH ST STE 3
JOHNSON CITY, TN 37601
Washington County (423) 202-7870

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 1366065278. It was assigned to this organization in the NPPES registry on May 27, 2020.

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 (423) 202-7870.

What is Life Well Pharmacy, LLC's specialty?

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

Does Life Well Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2205923) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Life Well Pharmacy, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 39 other insurers list Life Well Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Well Pharmacy, LLC was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.