Active NPI
Gary Lee Lewis
- Pharmacist
- Prescott, AR
National Provider Identifier
1841286952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05910
- Practice address
- 1430 W 1St St N
Prescott, AR 71857-3339 - Phone
- (870) 887-2717
- Fax
- (870) 887-2113
- NPI assigned
- Sep 23, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 05910 | AR | Primary |
Addresses
Primary practice location
1430 W 1St St N
Prescott, AR 71857-3339
Mailing address
1941 Nevada 23
Prescott, AR 71857-7008
Phone (870) 887-5857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05910 | Other | AR | PHARMACIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05910 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841286952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 NEVADA 23",
"city": "PRESCOTT",
"state": "AR",
"postal_code": "718577008",
"telephone_number": "870-887-5857",
"fax_number": "870-887-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 W 1ST ST N",
"city": "PRESCOTT",
"state": "AR",
"postal_code": "718573339",
"telephone_number": "870-887-2717",
"fax_number": "870-887-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "05910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "05910",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.