Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Nicole E Lewis , PharmD

Pharmacist β€’ Dover, OH

Active NPI 1619570314 Individual Practitioner Male Practitioner
Practice location in NPPES

204 S Bellevue Ave
Dover, OH 446229405

Call 3303651085 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

204 S Bellevue Ave

Dover, OH 446229405

Telephone 3303651085
Fax 3307561080
Organization at the Same NPPES Address or Phone
Springvale Health Centers, Inc. Facility NPI 1487035986

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dover and Ohio

9 active clinicians are listed under Pharmacist with a practice address in Dover, OH (10,836 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-06
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OH 3432011

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Larry Bucher , DDS

Dentist - General Practice

NPI 1932296720

Doctor of Dental Surgery

Misty Elder , NP

Nurse Practitioner - Family

NPI 1861171837

Nurse Practitioner

Shannone Koch , APRN-CNP

Nurse Practitioner - Family

NPI 1346601077

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Darla Moore , CNP

Nurse Practitioner - Family

NPI 1407404551

Certified Nurse Practitioner

NPI 1689866543

Doctor of Medicine (M.D.)

NPI 1235444159

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 06, 2021

Registered at 204 S BELLEVUE AVE, DOVER, OH 446229405 (Tel: 3303651085)

πŸ‘€
Provider Name / Credentials Updated August 06, 2021

Recorded as NICOLE LEWIS, PHARM.D.

βœ…
NPI Profile Active November 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 17, 2020

Registered at 7292 FULTON DR NW, CANTON, OH 447181525 (Tel: 3308373095)

πŸ“
Business Mailing Address (Initial Record) November 17, 2020

Registered at 7292 FULTON DR NW, CANTON, OH 447181525

πŸ‘€
Provider Name / Credentials (Initial Record) November 17, 2020

Recorded as NICOLE LEWIS, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2020

Pharmacist (license number reported to NPPES: OH 3432011)

🟒
Initial NPI Registration & Enumeration November 17, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1619570314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2020
Last Update: August 06, 2021
Sole Proprietor: Yes

Mailing Address

7292 Fulton Dr Nw

Canton, OH 447181525

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.