Individual provider Active NPI

Angela L Lewis, PHARMD

  • Psychiatric Pharmacist
  • Mount Vernon, AL
National Provider Identifier
1497050389
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
14927 Issued in AL
Practice address
725 E Coy Smith Hwy
Mount Vernon, AL 36560-3322
Phone
(251) 662-6700
Fax
(251) 829-5636
NPI assigned
Jan 24, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 14927 AL Primary

Addresses

Primary practice location

725 E Coy Smith Hwy
Mount Vernon, AL 36560-3322

Mailing address

725 E Coy Smith Hwy
P.O. Box 1090
Mount Vernon, AL 36560-3322
Phone (251) 662-6700

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

LicenseStateTypeSpecialty
14927ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Dept of Finance Past Accepting new patients
State of Alabama Dept of Finace Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1497050389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E COY SMITH HWY",
            "address_2": "P.O. BOX 1090",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365603322",
            "telephone_number": "251-662-6700",
            "fax_number": "251-829-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E COY SMITH HWY",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365603322",
            "telephone_number": "251-662-6700",
            "fax_number": "251-829-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "AL",
            "license": "14927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.