# JENEV ENTERPRISES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LiveWell Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972058535
- **Authorized official:** DHARMENDRA PATEL RPH (CEO/PHARMACY MANAGER/PIC/AO)
- **Authorized official phone:** (973) 220-8098

## Contact information

- **Practice address:** 477 STATE ROUTE 10 UNIT 13, RANDOLPH, NJ 07869-2142
- **Practice address phone:** (973) 775-9818
- **Practice address fax:** (973) 775-9816
- **Mailing address:** 477 STATE ROUTE 10 UNIT 13, RANDOLPH, NJ 07869-2142
- **Mailing address phone:** (973) 775-9818
- **Mailing address fax:** (973) 775-9816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00754000 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 03/06/2017