Active NPI
Raymond David Lewis, DPH
- Pharmacist
- Hixson, TN
National Provider Identifier
1790054096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2850
- Practice address
- 5478 Highway 153
Hixson, TN 37343-3782 - Phone
- (423) 875-0855
- NPI assigned
- Dec 16, 2011
- 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 | 2850 | TN | Primary |
Addresses
Primary practice location
5478 Highway 153
Hixson, TN 37343-3782
Mailing address
1612 Rustic Homes LN
Signal MTN, TN 37377-1404
Phone (423) 886-4733
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1790054096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 RUSTIC HOMES LN",
"city": "SIGNAL MTN",
"state": "TN",
"postal_code": "373771404",
"telephone_number": "423-886-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5478 HIGHWAY 153",
"city": "HIXSON",
"state": "TN",
"postal_code": "373433782",
"telephone_number": "423-875-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RAYMOND",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-16",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "2850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.