Nicole E Lewis, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

3432011 Issued in OH

Practice address

204 S Bellevue Ave
Dover, OH 44622-9405

Phone

(330) 365-1085

Fax

(330) 756-1080

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1619570314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7292 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S BELLEVUE AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229405",
            "telephone_number": "330-365-1085",
            "fax_number": "330-756-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "3432011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Kay Ledger, FNP-C
• Joel Anthony Lehman, M.D.
• Kristi M Leindecker, M.D.
• Joseph Tyler Lemmer
• Robert M Levitt, M.D.
• Robert Earl Ley III, MD
• Beth A Leyman, PT, DPT.
• Paul V. Lindenmuth, LICDC-CS
• Camille A Lindon, LPC
• Mary Kathryn Lindsey

• Pharmacist in Dover, OH
• Providers in Dover, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.