Lewisville Drug Company Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LEWISVILLE DRUG COMPANY INC

Practice address

6715 Shallowford Rd
Lewisville, NC 27023-9847

Phone

(336) 946-0220

Fax

(336) 946-0199

NPI assigned

Apr 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Alan Vance, PHARMD

Title

President

Phone

(336) 946-0220

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Lewisville Drug Company Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lewisville Drug Company Inc

  • Community/Retail Pharmacy
  • Lewisville, NC
  • NPI 1710084652
  NPD tax ID
• Lewisville Drug Company, Inc.

  • Community/Retail Pharmacy
  • Lewisville, NC
  • NPI 1386914380
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1346044849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 SHALLOWFORD RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239847",
            "telephone_number": "336-946-0220",
            "fax_number": "336-946-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 SHALLOWFORD RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239847",
            "telephone_number": "336-946-0220",
            "fax_number": "336-946-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-946-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347256",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Kathryn Frye Kim, DMD
• Miesha A Larkins, CD(DONA)
• Jennifer Amber League-Sobon, MD
• Elizabeth Atzin Leamon-Martinez
• Abbey Lefko, LCMHCA
• Lewisville Drug Company Inc
• Lewisville Drug Company, Inc.
• Lewisville Family Counseling, PLLC
• Lewisville Optical Inc
• Lifeworks Unilimited Pediatric Therapy Services, LLC

• Long Term Care Pharmacy in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.