Active NPI
Antony Moore Lewis, RPH
- Pharmacist
- Powell, WY
National Provider Identifier
1639168396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2656
- Practice address
- 777 Avenue H
Powell, WY 82435-2260 - Phone
- (307) 754-1179
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 2656 | WY | Primary |
Addresses
Primary practice location
777 Avenue H
Powell, WY 82435-2260
Mailing address
630 Mountain View St
Powell, WY 82435-1722
Phone (307) 754-2475
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2656 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639168396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 MOUNTAIN VIEW ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824351722",
"telephone_number": "307-754-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "824352260",
"telephone_number": "307-754-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANTONY",
"middle_name": "MOORE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "2656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.