Active NPI
Timothy Jon Lew, PHARMACIST
- Pharmacist
- Kerrville, TX
National Provider Identifier
1700984259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21370
- Practice address
- 3600 Memorial Blvd
Kerrville, TX 78028-5768 - Phone
- (830) 792-2422
- Fax
- (830) 792-2499
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 21370 | TX | Primary |
Addresses
Primary practice location
3600 Memorial Blvd
Kerrville, TX 78028-5768
Mailing address
6822 King Louis Dr
San Antonio, TX 78229-4919
Phone (210) 614-6880
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 |
|---|---|---|---|
| 21370 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700984259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6822 KING LOUIS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294919",
"telephone_number": "210-614-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MEMORIAL BLVD",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285768",
"telephone_number": "830-792-2422",
"fax_number": "830-792-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEW",
"first_name": "TIMOTHY",
"middle_name": "JON",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "21370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
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.