Keith Alan Vance, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

16411 Issued in NC

Practice address

6715 Shallowford Rd
Lewisville, NC 27023-9847

Phone

(336) 946-0220

Fax

(336) 946-0199

NPI assigned

Aug 11, 2009

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

Practice roles

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.

• Lewisville Drug Company Inc

  • Community/Retail Pharmacy
  • Lewisville, NC
  • NPI 1710084652
  NPD (past) Authorized official

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1740412667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 SHALLOWFORD ROAD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270238258",
            "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": [
        {
            "address_1": "181 Lowes Foods Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "NC",
            "postal_code": "270238258",
            "country_code": "US",
            "telephone_number": "336-946-0220",
            "fax_number": "336-946-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wake Forest Baptist Health
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• Pharmacist in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.