Provider Demographics
NPI:1659435618
Name:CK LEWIS ENTERPRISES INC
Entity Type:Organization
Organization Name:CK LEWIS ENTERPRISES INC
Other - Org Name:NATION'S MEDICINES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-926-4080
Mailing Address - Street 1:3000 ALVEY PARK DR W
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-4099
Mailing Address - Country:US
Mailing Address - Phone:270-926-4080
Mailing Address - Fax:270-684-4407
Practice Address - Street 1:3000 ALVEY PARK DR W
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4099
Practice Address - Country:US
Practice Address - Phone:270-926-4080
Practice Address - Fax:270-684-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
KYP068653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54005020Medicaid
2034084OtherPK
2034084OtherPK