Active NPI
Lori Rae McEwen, RPH, MBA
- Pharmacist
- Meadville, PA
National Provider Identifier
1013230622
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Mar 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP030138L
- Practice address
- 16086 Conneaut Lake Road
Meadville, PA 16335 - Phone
- (814) 724-6351
- NPI assigned
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-3-25675 | OH | |
| Pharmacist | 183500000X | RP030138L | PA | Primary |
Addresses
Primary practice location
16086 Conneaut Lake Road
Meadville, PA 16335
Mailing address
10921 Lake Front St
Conneaut Lake, PA 16316-2931
Phone (724) 824-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007455310015 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP030138L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1013230622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 LAKE FRONT ST",
"city": "CONNEAUT LAKE",
"state": "PA",
"postal_code": "163162931",
"telephone_number": "724-824-8300",
"fax_number": "724-588-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16086 CONNEAUT LAKE ROAD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "16335",
"telephone_number": "814-724-6351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWEN",
"first_name": "LORI",
"middle_name": "RAE",
"credential": "RPH, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-25675",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP030138L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007455310015",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.