Active NPI
Jonathon Paul Lewis, PHARMD
- Pharmacist
- Duncan, SC
National Provider Identifier
1942972674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43217
- Practice address
- 2196 E Main St
Duncan, SC 29334-9456 - Phone
- (864) 486-1779
- NPI assigned
- Sep 30, 2021
- Last updated
- Sep 30, 2021
- 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 | 43217 | SC | Primary |
Addresses
Primary practice location
2196 E Main St
Duncan, SC 29334-9456
Mailing address
4848 Richburg Rd
Richburg, SC 29729-9093
Phone (803) 899-1857
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 |
|---|---|---|---|
| 43217 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2196 E Main St
Duncan, SC 29334
Phone (864) 486-1779
Organizations & group practices 2
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": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1942972674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 RICHBURG RD",
"city": "RICHBURG",
"state": "SC",
"postal_code": "297299093",
"telephone_number": "803-899-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2196 E MAIN ST",
"city": "DUNCAN",
"state": "SC",
"postal_code": "293349456",
"telephone_number": "864-486-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JONATHON",
"middle_name": "PAUL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.