Active NPI
Lewis S Soh
- Pharmacist
- Suwanee, GA
National Provider Identifier
1659885796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030274
- Practice address
- 1090 Peachtree Industrial Blvd
Suwanee, GA 30024-1920 - Phone
- (678) 546-0893
- NPI assigned
- Nov 28, 2017
- Last updated
- Dec 19, 2022
- 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 | RPH030274 | GA | Primary |
Addresses
Primary practice location
1090 Peachtree Industrial Blvd
Suwanee, GA 30024-1920
Mailing address
3401 Lake McGinnis Dr
Suwanee, GA 30024-7175
Phone (407) 625-5319
Other practice location 1
4470 Columbia Rd
Augusta, GA 30907-4263
Phone (706) 228-4627
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030274 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1090 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (678) 546-0893
Organizations & group practices 3
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": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1659885796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 LAKE MCGINNIS DR",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247175",
"telephone_number": "407-625-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 PEACHTREE INDUSTRIAL BLVD",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241920",
"telephone_number": "678-546-0893"
}
],
"practiceLocations": [
{
"address_1": "4470 Columbia Rd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309074263",
"country_code": "US",
"telephone_number": "706-228-4627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOH",
"first_name": "LEWIS",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-28",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.