John Michael Lewis, PHARMD
Individual provider Active NPI Pharmacist · Horse Cave, KY
NPI 1972056281 · NPPES record last updated Aug 3, 2016
Key facts
- NPI
- 1972056281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 018763 (KY)
- Practice address
- 394 N Dixie St
Horse Cave, KY 42749-1138 - Phone
- (270) 786-1147
- NPI assigned
- Aug 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018763 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 018763 | KY | Yes |
Addresses
Primary practice location
394 N Dixie St
Horse Cave, KY 42749-1138
Mailing address
205B Forrester Rd
Glasgow, KY 42141-1071
Phone (859) 533-9501
Other providers in Horse Cave, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.