Active NPI
Brian Ervin Lewis, PHARMD, MBA
- Pharmacist
- Wyomissing, PA
National Provider Identifier
1043600950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453172
- Practice address
- 1235 Penn Ave Ste 101
Wyomissing, PA 19610-2100 - Phone
- (610) 376-3000
- Fax
- (610) 478-3000
- NPI assigned
- Jan 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RIO3967500 | NJ | |
| Pharmacist | 183500000X | 021176 | KY | |
| Pharmacist | 183500000X | 0202218463 | VA | |
| Pharmacist | 183500000X | PST.023323 | LA | |
| Pharmacist | 183500000X | 26993 | MD | |
| Pharmacist | 183500000X | RP0011985 | WV | |
| Pharmacy Technician | 183700000X | 28RW00241400 | NJ | |
| Pharmacist | 183500000X | RP453172 | PA | Primary |
Addresses
Primary practice location
1235 Penn Ave Ste 101
Wyomissing, PA 19610-2100
Mailing address
1235 Penn Ave Ste 101
Wyomissing, PA 19610-2100
Phone (610) 376-3000
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
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021176 | KY | MD | Pharmacist |
| PST.023323 | LA | MD | Pharmacist |
| 26993 | MD | MD | Pharmacist |
| 28RIO3967500 | NJ | MD | Pharmacist |
| RP453172 | PA | MD | Pharmacist |
| 0202218463 | VA | MD | Pharmacist |
| RP0011985 | WV | MD | Pharmacist |
| 28RW00241400 | NJ | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance PA Pharmacy, LLC. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wyomissing, PA
- NPI 1487119996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1043600950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 PENN AVE STE 101",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102100",
"telephone_number": "610-376-3000",
"fax_number": "610-478-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 PENN AVE STE 101",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102100",
"telephone_number": "610-376-3000",
"fax_number": "610-478-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BRIAN",
"middle_name": "ERVIN",
"name_prefix": "Mr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-29",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RIO3967500",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021176",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218463",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.023323",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26993",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0011985",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NJ",
"license": "28RW00241400",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.