Individual provider Active NPI

Jasmine Lewis, RPH

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1801414701
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202218340 Issued in VA
Practice address
4535 Roswell Rd
Atlanta, GA 30342-3100
Phone
(404) 236-0838
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202218340 VA Primary

Addresses

Primary practice location

4535 Roswell Rd
Atlanta, GA 30342-3100

Mailing address

5675 Roswell Rd Apt 14a
Atlanta, GA 30342-1215
Phone (720) 441-6179

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0202218340VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Sep 10, 2023 Accepting new patients
Peoples Pharmacy, LLC PastSince Jul 1, 2020 Accepting new patients
Walgreen Co PastSince Sep 10, 2023 Accepting new patients

Locations

4535 Roswell Rd
Sandy Springs, GA 30342
Phone (404) 236-0838

Organizations & group practices 3

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1801414701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROSWELL RD APT 14A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421215",
            "telephone_number": "720-441-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423100",
            "telephone_number": "404-236-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-09-04",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202218340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.