MR. VERNON THEODORE LEW


Address: 2200 Bergquist Dr, Bldg 8410, San Antonio, TX 78236-9907
Phone: 2102928418

MR. VERNON THEODORE LEW (NPI# 1093792665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093792665
Entity Type Individual
Full Name MR. VERNON THEODORE LEW
Credential RPH
Practice Address 2200 Bergquist Dr
Bldg 8410
San Antonio
TX 78236-9907
Mailing Address 8 Liser Gln
San Antonio
TX 78257-1377
Practice Telephone 2102928418
Practice Fax Number 2102927207
Mailing Telephone 2104818442
Enumeration Date 2005-12-27
Last Update Date 2013-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835N1003X Pharmacist
Specialization: Nutrition Support
24525 TX Pharmacy Service Providers

Other Providers VERNON LEW

NPI Name Taxonomy Address Enumeration
1760592059 Vernon Miles Lew Dentist 1848 Saratoga Ave, Building 3, Saratoga, CA 95070 2006-08-30

Office Location

Street Address 2200 BERGQUIST DR
BLDG 8410
City SAN ANTONIO
State TX
Zip Code 78236-9907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154830834 Eugenia Osei-wusu Pharmacist 2200 Bergquist Dr, San Antonio, TX 78236-9907 2017-09-25
1396275079 Kara Christensen Nurse Practitioner 2200 Bergquist Dr, San Antonio, TX 78236-9907 2017-06-15
1316497985 Loralyn Beck Dietitian, Registered 2200 Bergquist Dr, San Antonio, TX 78236-9907 2016-10-07
1821450123 Cory Newby Military Health Care Provider 2200 Bergquist Dr, San Antonio, TX 78236-9907 2016-03-25
1942669593 Katherine Krause General Practice 2200 Bergquist Dr, Suite 1, San Antonio, TX 78236-9907 2016-02-10
1114364759 Charles Aaron Woodward IIi Military Health Care Provider 2200 Bergquist Dr, San Antonio, TX 78236-9907 2013-05-22
1679919435 Matthew J Cellini Emergency Medicine 2200 Bergquist Dr, Suite 1, Jbsa Lackland, San Antonio, TX 78236-9907 2013-05-20
1275879587 Kelyn C Dos Santos Military Health Care Provider 2200 Bergquist Dr, San Antonio, TX 78236-9907 2012-12-14
1780967448 Danielle Lantz Military Health Care Provider 2200 Bergquist Dr, Suite 1, San Antonio, TX 78236-9907 2011-09-20
1326346545 Jocelyn Tia Moore Social Worker 2200 Bergquist Dr, Suite 1 - Jbsa Lackland, San Antonio, TX 78236-9907 2011-03-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1952967077 Paul Fianza Boseman Nurse Practitioner 1106 Wilford Hall Loop, San Antonio, TX 78236 2019-05-14
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
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Taxonomy Information

Taxonomy Code 1835N1003X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Nutrition Support

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881762300 Luis Omar Valdivieso Jr. Pharmacist 2100 Berqguire Rd Ste No. 1, San Antonio, TX 78236 2006-12-01
1316039894 Renee Anne Bellanger Pharmacist 4301 Broadway, Cpo 99, San Antonio, TX 78209 2006-09-29
1568560126 George Melnik Pharmacist 7400 Merton Minter St, San Antonio, TX 78229-4404 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720543754 Donna Bellia Pharmacist 211 E Creekview Dr, Fredericksburg, TX 78624-5434 2019-02-04
1457844656 Jean Ann Graham Pharmacist 2503 Saratoga Dr, Austin, TX 78733-1240 2018-06-12
1295274397 People's Wellness Center Pharmacist 13860 N Us Highway 183 Ste C, Austin, TX 78750-1203 2017-02-22
1881080109 Patrece Jones Pharmacist 18101 Point Lookout Dr, 343, Houston, TX 77058-3569 2015-04-14
1659771194 Rick Ferris Pharmacist 115 Tower Rd, Valley View, TX 76272-7668 2014-09-03
1447509625 Barbara Ann Campbell Pharmacist 13860 Highway 183 North Suite C, Austin, TX 78750 2012-09-05
1457616708 David Christian Morcom Pharmacist 16306 Shadybank Dr, Dallas, TX 75248-2957 2012-07-11
1881806321 Todd Wayne Canada Pharmacist 1515 Holcombe Boulevard, Unit 377, Division of Pharmacy, Houston, TX 77030-4009 2007-05-04
1720129851 E. J. Stein Pharmacist 2004 W State Highway 29, Burnet, TX 78611-2353 2007-02-10
1730237025 Elizabeth Rose Kaczmarek Pharmacist 108 Arabian Dr, Victoria, TX 77904-3248 2007-01-05
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Competitor

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City SAN ANTONIO
Zip Code 78236

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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