Provider Demographics
NPI:1134098205
Name:LEWIS, JOSHUA DAVID (PHARMD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DAVID
Last Name:LEWIS
Suffix:
Gender:X
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 GOOSE POND RD
Mailing Address - Street 2:
Mailing Address - City:SHAPLEIGH
Mailing Address - State:ME
Mailing Address - Zip Code:04076-3737
Mailing Address - Country:US
Mailing Address - Phone:207-730-8968
Mailing Address - Fax:
Practice Address - Street 1:15 SHAPLEIGH RD
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1401
Practice Address - Country:US
Practice Address - Phone:207-438-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR72659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist