Active NPI
Lewis Waits, PHARM.D
- Pharmacist
- Broken Arrow, OK
National Provider Identifier
1508583840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19137
- Practice address
- 1853 S Aspen Ave
Broken Arrow, OK 74012-5104 - Phone
- (918) 251-9615
- NPI assigned
- Oct 27, 2022
- Last updated
- Oct 27, 2022
- Sex
- Male
- 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 | 19137 | OK | Primary |
Addresses
Primary practice location
1853 S Aspen Ave
Broken Arrow, OK 74012-5104
Mailing address
1853 S Aspen Ave
Broken Arrow, OK 74012-5104
Phone (918) 251-9615
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19137 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | 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": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1508583840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1853 S ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125104",
"telephone_number": "918-251-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1853 S ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125104",
"telephone_number": "918-251-9615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITS",
"first_name": "LEWIS",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "19137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
- Chandra Vue, PHARMD
- An Nhan Le Vuong, PHARMD
- Georgia Ann Wade, RN. IBCLC
- Jeff W Wade, PHARMD
- Timothy Allen Wagner, D.C.
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-6942)
- Wal-Mart Stores East , LP (Walmart Vision Center 30-3295)
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-4655)
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-0472)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0472)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.