Individual provider Active NPI

Drew Fee Levavasseur, PHARMD

  • Pharmacist
  • Coudersport, PA
National Provider Identifier
1770185167
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP447815 Issued in PA
Practice address
101 N Main St
Coudersport, PA 16915-1621
Phone
(814) 274-8660
Fax
(814) 274-8984
NPI assigned
Nov 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP447815 PA Primary

Addresses

Primary practice location

101 N Main St
Coudersport, PA 16915-1621

Mailing address

101 N Main St
Coudersport, PA 16915-1621
Phone (814) 274-8660

Other practice location 1

122 W Main St
Westfield, PA 16950-1522
Phone (814) 367-2879

Other practice location 2

206 Main Street
Elkland, PA 16920
Phone (814) 258-5718

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

LicenseStateTypeSpecialty
RP447815PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Novapharm Enterprises Inc. Past Accepting new patients
Buchanan Brothers Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1770185167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151621",
            "telephone_number": "814-274-8660",
            "fax_number": "814-274-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151621",
            "telephone_number": "814-274-8660",
            "fax_number": "814-274-8984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Main St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "PA",
            "postal_code": "169501522",
            "country_code": "US",
            "telephone_number": "814-367-2879",
            "fax_number": "817-367-5197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Main Street",
            "address_purpose": "LOCATION",
            "city": "Elkland",
            "state": "PA",
            "postal_code": "16920",
            "country_code": "US",
            "telephone_number": "814-258-5718",
            "fax_number": "814-258-7082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVAVASSEUR",
        "first_name": "DREW",
        "middle_name": "FEE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP447815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.