CANNON PHARMACY OF MOORESVILLE
NPI 1811134869
Pharmacy - Community/Retail Pharmacy in Mooresville, NC

Q: What is Livewell Inc's NPI number?

The NPI number for Livewell Inc is 1811134869. It was assigned to this organization in the NPPES registry on January 13, 2009. The provider is doing business as Cannon Pharmacy Of Mooresville.

Q: What is Livewell Inc's specialty?

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

Q: 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.

Active since January 13, 2009

521 E PLAZA DR, MOORESVILLE, NC 28115(704) 658-9870(704) 658-9871 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Cannon Pharmacy Of Mooresville NPPES

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

CANNON PHARMACY OF MOORESVILLE (NPI 1811134869) is a healthcare organization registered as a community/retail pharmacy in Mooresville, North Carolina and active in the NPI registry since January 2009. The organization lists Brian Freeman, President, as its authorized official.

NPPES Registry Identity

NPI1811134869

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLIVEWELL INC

Location Address521 E PLAZA DRMooresville, NC 28115-8071

Mailing Address521 E Plaza DrMooresville, NC 28115-8071 · (704) 658-9870 · Fax (704) 658-9871

Phone(704) 658-9870

Fax(704) 658-9871

Organization SubpartNo

Authorized OfficialBrian FreemanPresident · (704) 933-6337

Enumeration DateJanuary 13, 2009

Last NPPES UpdateJanuary 23, 2013

✔ NPI 1811134869 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 · 10205

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.

521 E PLAZA DR, Mooresville, NC 28115

Open in Google Maps ↗

Other Names 1

Doing Business AsCannon Pharmacy Of Mooresville

Other Identifiers 1

Other3413274Ncpdp Provider Identification Number

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories Cannon Pharmacy Mooresville carries, from the Medicare DMEPOS supplier directory.

Cannon Pharmacy Mooresville

DMEPOS supplier · Mooresville, NCOperated by Panther Health LLC

⋮

Does not accept Medicare assignment

Cannon Pharmacy Mooresville has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20482943

Medicare Participant SinceJuly 5, 2015

Supplier Location521 E Plaza DrMooresville, NC 28115

Phone(704) 668-9870

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

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

BRIAN WILLIAM REBHOLZ PHARM.D.

Pharmacist