OrganizationActive
Live Well Pharmacy LLC
NPI 1306159579 · Community/Retail Pharmacy · Philadelphia, PA
Provider details
- NPI number
- 1306159579
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Luu, Owner/Pic/Phcy Mgr(215) 437-9255
- License
- PP482041 (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2453 Grant Ave
Philadelphia, PA 19114-1004
Phone: (215) 437-9255
Fax: (215) 941-7910
Street-level locationGet directions
Mailing address
2453 Grant Ave
Philadelphia, PA 19114-1004
Other names (DBA / former)
- Doing business as
- Live Well Pharmacy
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2014-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.