Pam Anne Lewis, RPH

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

E06013 Issued in MS

Practice address

350 Sunset Dr
Grenada, MS 38901-4613

Phone

(662) 417-8660

Fax

(662) 307-2750

NPI assigned

Mar 2, 2021

Sex

Female

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

Registered Pharmacist

State licenses

Practice roles

Locations

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

• C and K Pharmacy

  • Community/Retail Pharmacy
  • Grenada, MS
  • NPI 1083036016

  Clinic Pharmacy

  NPD
• Quick Care Clinic LLC

  • Primary Care Clinic/Center
  • Grenada, MS
  • NPI 1386035202
  NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1649865635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COUNTY ROAD 327",
            "city": "BIG CREEK",
            "state": "MS",
            "postal_code": "389142622",
            "telephone_number": "662-645-2331",
            "fax_number": "662-628-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014613",
            "telephone_number": "662-417-8660",
            "fax_number": "662-307-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PAM",
        "middle_name": "ANNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MS",
            "license": "E06013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America Holdings
• Benjamin Lambert, MD
• Katharine Jean Laymon, MS, LPCC
• Kerry Todd Lee, M.D.
• Jill Leverette, F.N.P.
• Dana Lien, NP
• Lincare Inc.
• Liza de Olazo Banaag, M. D., P. a.
• Gwendolyn Sprayberry Lordeon, MSN, NP-C
• Juliette J Lott, PHARMD

• All providers in Grenada, MS
• Clinic Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.