Nicholeah Jade Lewallen, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

39513 Issued in TN

Practice address

1901 W Clinch Ave
Knoxville, TN 37916-2307

Phone

(865) 331-1533

NPI assigned

Sep 30, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicholeah Jade Lewallen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760992093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 S LAKE DR",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378415813",
            "telephone_number": "423-215-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162307",
            "telephone_number": "865-331-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19118 Alberta St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "TN",
            "postal_code": "378416003",
            "country_code": "US",
            "telephone_number": "423-569-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "NICHOLEAH",
        "middle_name": "JADE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "39513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLEAH",
            "last_name": "LEWALLEN",
            "middle_name": "JADE",
            "prefix": "DR.",
            "credential": "NICHOLEAH LAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Lever, APRN, FNP
• Robert E Levey, PHD
• Brianna Levie
• Adam J. Levko, PT
• Jacob Joseph Levy, PH.D.
• Izabella Lewandowski, AU.D.
• Regina Lewellyn, B.S.
• Alicia Janel Lewis Gallardo, MA
• Akua Konadu Lewis, RPH
• Alexis Rose Lewis, MA

• Pharmacist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.