Active NPI
Amanda Lewis
- Pharmacist
- Morehead, KY
National Provider Identifier
1306423868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019902
- Practice address
- 222 Medical Cir
Morehead, KY 40351-1179 - Phone
- (606) 783-6741
- NPI assigned
- Mar 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019902 | KY | Primary |
Addresses
Primary practice location
222 Medical Cir
Morehead, KY 40351-1179
Mailing address
840 Fraley Dr
Morehead, KY 40351-8886
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | secure.dochalo.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 019902 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1306423868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 FRALEY DR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403518886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MEDICAL CIR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511179",
"telephone_number": "606-783-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019902",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "secure.dochalo.com",
"affiliation": "N",
"endpointDescription": "Doc Halo",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "222 Medical Cir",
"city": "Morehead",
"state": "KY",
"country_code": "US",
"postal_code": "403511179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.