Serovax

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

SEROVAX

Doing business as

Serovax

Practice address

5063 Wingfeather PL
Castle Rock, CO 80108-8044

Phone

(503) 970-0803

NPI assigned

Aug 23, 2020

Last updated

Aug 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lance Cameron Lewis, PHARMDNPI 1992010102

Title

President/Owner

Phone

(503) 970-0803

Specialties & licenses 1

Addresses

Other names 1

• Serovax Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance Cameron Lewis, PHARM.D.

  • Pharmacist
  • Saint Helens, OR
  • NPI 1992010102
  NPD Authorized official

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598140800000",
    "number": "1811509508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5063 WINGFEATHER PL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088044",
            "telephone_number": "503-970-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5063 WINGFEATHER PL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088044",
            "telephone_number": "503-970-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEROVAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "503-970-0803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serovax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Purvi V Shah, MS NUTRITION,DDS,PD
• Stephanie Elizabeth Shanley, RN
• Margaret Ann Sheehan, M.D.
• Avery Sheiner, PA-C

• Specialty Pharmacy in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Specialty Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.