Active NPI
Lewis Michael Iacovelli, PHARMD, BCOP, CPP
- Oncology Pharmacist
- Greensboro, NC
National Provider Identifier
1699897736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 13198
- Practice address
- 501 N Elam Ave
Regional Cancer Center
Greensboro, NC 27403-1118 - Phone
- (336) 832-0771
- Fax
- (336) 832-0604
- NPI assigned
- Apr 6, 2007
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 13198 | NC | Primary |
Addresses
Primary practice location
501 N Elam Ave
Regional Cancer Center
Greensboro, NC 27403-1118
Mailing address
501 N Elam Ave
Regional Cancer Center
Greensboro, NC 27403-1118
Phone (336) 832-0771
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 |
|---|---|---|---|
| 13198 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699897736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N ELAM AVE",
"address_2": "REGIONAL CANCER CENTER",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031118",
"telephone_number": "336-832-0771",
"fax_number": "336-832-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N ELAM AVE",
"address_2": "REGIONAL CANCER CENTER",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031118",
"telephone_number": "336-832-0771",
"fax_number": "336-832-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACOVELLI",
"first_name": "LEWIS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD, BCOP, CPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NC",
"license": "13198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.