Debbie Jo Lewis

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7-4500 Issued in OK

Legal business name

DEBBIE JO LEWIS

Doing business as

Leons Medical Clinic Pharmacy

Practice address

322 N Service Rd
Moore, OK 73160-4945

Phone

(405) 794-3565

Fax

(405) 794-0112

NPI assigned

Jan 11, 2007

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie LewisNPI 1114016359

Title

Owner

Phone

(405) 794-3565

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LEONS MEDICAL CLINIC PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debbie Jo Lewis, DPH

  • Pharmacist
  • Moore, OK
  • NPI 1114016359
  NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1487704706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N SERVICE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604945",
            "telephone_number": "405-794-3565",
            "fax_number": "405-794-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N SERVICE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604945",
            "telephone_number": "405-794-3565",
            "fax_number": "405-794-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE JO LEWIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-794-3565"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "7-4500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEONS MEDICAL CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEONS MEDICAL CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Moore, OK
• Providers in Moore, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.