Active NPI
Damien Perry Lihs
- Pharmacist
- Davenport, IA
National Provider Identifier
1144958091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24493
- Practice address
- 1655 W Kimberly Rd
Davenport, IA 52806-5532 - Phone
- (563) 388-7856
- NPI assigned
- Aug 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24493 | IA | Primary |
Addresses
Primary practice location
1655 W Kimberly Rd
Davenport, IA 52806-5532
Mailing address
1655 W Kimberly Rd
Davenport, IA 52806-5532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24493 | Other | IA | IOWA BOARD OF PHARMACY LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RxConnect |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24493 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa CVS Pharmacy, LLC | Past | Accepting new patients | |
| Iowa CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1144958091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 W KIMBERLY RD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528065532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 W KIMBERLY RD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528065532",
"telephone_number": "563-388-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIHS",
"first_name": "DAMIEN",
"middle_name": "PERRY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA BOARD OF PHARMACY LICENSE NUMBER",
"identifier": "24493",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RxConnect",
"affiliation": "N",
"address_1": "1655 W Kimberly Rd",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528065532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.