OrganizationActive
Live Oaks Octagon
NPI 1154778199 · Pharmacy · Charlotte, NC
Live Oaks Octagon is a Pharmacy organization in Charlotte, NC (NPI 1154778199).
Provider details
- NPI number
- 1154778199
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tom Mullen, Manager(646) 729-7578
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13521 Steelecroft Pkwy
Charlotte, NC 28278-7551
Phone: (646) 729-7578
Fax: (980) 256-4715
Street-level locationGet directions
Mailing address
13521 Steelecroft Pkwy
Charlotte, NC 28278-7551
Other names (DBA / former)
- Doing business as
- Live Oaks Octagon, LLC
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2016-08-02
Frequently asked questions
- What is Live Oaks Octagon's NPI number?
- Live Oaks Octagon's National Provider Identifier (NPI) is 1154778199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Live Oaks Octagon?
- Live Oaks Octagon is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Live Oaks Octagon located?
- Live Oaks Octagon's practice location on file with NPPES is 13521 Steelecroft Pkwy, Charlotte, NC 28278-7551.
- What is Live Oaks Octagon's phone number?
- The practice phone number listed in the NPPES registry for Live Oaks Octagon is (646) 729-7578.
- Who is the authorized official for Live Oaks Octagon?
- The authorized official listed on Live Oaks Octagon's NPPES record is Tom Mullen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Live Oaks Octagon's NPI active?
- Yes — Live Oaks Octagon's NPI (1154778199) is active in the NPPES registry as of the last update on 2016-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.