Active NPI
Melissa Lewis, PHARMD
- Pharmacist
- Memphis, TN
National Provider Identifier
1174821029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6954
- Practice address
- 880 Madison Ave
Memphis, TN 38103-3409 - Phone
- (901) 545-6965
- NPI assigned
- Mar 2, 2011
- Sex
- Female
- 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 | 6954 | TN | Primary |
Addresses
Primary practice location
880 Madison Ave
Memphis, TN 38103-3409
Mailing address
1629 Vinton Avenue
Memphis, TN 38104
Phone (901) 240-4439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62113169 | Medicaid | TN |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6954 | TN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1174821029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 VINTON AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-240-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033409",
"telephone_number": "901-545-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MELISSA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62113169",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.