Active NPI
Angela Yvonne Lewis, PHARM.D.
- Pharmacist
- Rockville, MD
National Provider Identifier
1881978534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26402
- Practice address
- 403 Redland Blvd
Rockville, MD 20850-5234 - Phone
- (301) 990-4350
- NPI assigned
- Sep 29, 2011
- Last updated
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18954 | LA | |
| Pharmacist | 183500000X | 26402 | MD | Primary |
Addresses
Primary practice location
403 Redland Blvd
Rockville, MD 20850-5234
Mailing address
17744 Spring Creek Dr
Baton Rouge, LA 70817-9604
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26402 | MD | MD | Social Worker |
| 18954 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1881978534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17744 SPRING CREEK DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708179604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 REDLAND BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505234",
"telephone_number": "301-990-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANGELA",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18954",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.