Lewisville Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09019 Issued in NC

Legal business name

LEWISVILLE DRUG COMPANY INC

Practice address

6715 Shallowford Rd
Lewisville, NC 27023-9847

Phone

(336) 946-0220

Fax

(336) 946-0199

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Alan Vance, PHARMDNPI 1740412667

Title

President

Phone

(336) 946-0220

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• LEWISVILLE DRUG COMPANY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

Lewisville Drug Company Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lewisville Drug Company Inc

  • Long Term Care Pharmacy
  • Lewisville, NC
  • NPI 1346044849
  NPD tax ID
• Lewisville Drug Company, Inc.

  • Community/Retail Pharmacy
  • Lewisville, NC
  • NPI 1386914380
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Alan Vance, PHARM.D.

  • Pharmacist
  • Lewisville, NC
  • NPI 1740412667
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1710084652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 SHALLOWFORD RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239847",
            "telephone_number": "336-946-0220",
            "fax_number": "336-946-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 SHALLOWFORD RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239847",
            "telephone_number": "336-946-0220",
            "fax_number": "336-946-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-946-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09019",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347256",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEWISVILLE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEWISVILLE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miesha A Larkins, CD(DONA)
• Jennifer Amber League-Sobon, MD
• Elizabeth Atzin Leamon-Martinez
• Abbey Lefko, LCMHCA
• Lewisville Drug Company Inc
• Lewisville Drug Company, Inc.
• Lewisville Family Counseling, PLLC
• Lewisville Optical Inc
• Lifeworks Unilimited Pediatric Therapy Services, LLC
• Liner, Ward & Shobe DDS, PA

• Community/Retail Pharmacy in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.