Reginald Scott Lewis, RPH
Individual provider Active NPI Pharmacist · Flint, TX
NPI 1477877801 · NPPES record last updated Mar 13, 2010
Key facts
- NPI
- 1477877801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 39841 (TX)
- Practice address
- 11923 County Road 140
Flint, TX 75762-5017 - Phone
- (903) 343-5636
- NPI assigned
- Mar 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39841 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39841 | TX | Yes |
Addresses
Primary practice location
11923 County Road 140
Flint, TX 75762-5017
Mailing address
11923 County Road 140
Flint, TX 75762-5017
Phone (903) 343-5636
Other providers in Flint, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.