JACOB EDWARDS


Address: 921 W Main St, Lyons, KS 67554-1708
Phone: 6205092169

JACOB EDWARDS (NPI# 1043828163) 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) 1043828163
Entity Type Individual
Full Name JACOB EDWARDS
Practice Address 921 W Main St
Lyons
KS 67554-1708
Mailing Address Po Box 167
Lyons
KS 67554-0167
Practice Telephone 6205092169
Enumeration Date 2020-07-15
Last Update Date 2020-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
1-105894 KS Pharmacy Service Providers

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1154700227 Jacob Daniel Edwards Student in an Organized Health Care Education/Training Program 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2015-05-22
1851694046 Jacob Edwards Behavioral Analyst 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 2010-12-10
1730323254 Jacob Edwards Pediatrics 5565 Montgomery Hwy, Dothan, AL 36303-1552 2009-04-28

Office Location

Street Address 921 W MAIN ST
City LYONS
State KS
Zip Code 67554-1708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205308053 Lyon Pharmacy Inc Pharmacy 921 W Main St, Lyons, KS 67554 2018-12-18
1114535226 Ashlyn Raye Hammer Pharmacist 921 W Main St, Lyons, KS 67554-1708 2020-07-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972005494 Teresa M Cordell Chiropractor 108 W Commercial St, Lyons, KS 67554 2018-02-28
1649482282 Grene Vision Group LLC Ophthalmology 111 West First, Lyons, KS 67554 2007-05-04
1497245005 Cordell Chiropractic Clinic LLC Chiropractor 108 W Commercial St, Lyons, KS 67554 2018-05-18
1588845929 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 1212 W Main, Lyons, KS 67554 2007-11-14
1427145739 Hospital District No 1 of Rice Co Medicare Defined Swing Bed Unit 619 S Clark Ave, Lyons, KS 67554 2006-10-06
1710962014 Hospital District No 1 of Rice Co General Acute Care Hospital 619 S. Clark, Lyons, KS 67554-0828 2005-12-08
1700409802 Ludwig Family Chiropractic LLC Chiropractor 400 W Main St, Lyons, KS 67554-1819 2020-05-22
1245876663 Naomi Aiko Patrnchak Chiropractor 400 W Main St, Lyons, KS 67554-1819 2019-11-20
1780232637 Robert Brian Ludwig Chiropractor 400 W Main St, Lyons, KS 67554-1819 2019-09-03
1821372152 David L. Liska Dc Pa Chiropractor 400 W Main St, Lyons, KS 67554-1819 2011-10-05
Find all providers in zip 67554

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912230459 Pamela Renee Williamson Pharmacist 3091 Johnson Corner Rd, Lyons, GA 30436-5033 2009-09-16
1083039218 Chidinma U Onukogu Pharmacist 151 Knollcroft Rd, Lyons, NJ 07939-5001 2014-02-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639719016 Stacie Lynn Niehues Pharmacist 2010 Se 29th St Ste B, Topeka, KS 66605-3311 2020-01-13
1144860164 Jacqueline Baker Pharmacist 8709 W 80th St, Overland Park, KS 66204-3305 2020-01-07
1366815714 Brandon Thomas Pharmacist 4104 S 4th St, Leavenworth, KS 66048-5082 2015-11-06
1861818429 Katherine Marie Lurk Pharmacist 7101 College Blvd Ste 600, Overland Park, KS 66210-2083 2014-03-06
1073865374 David R Schoech Pharmacist 922 W Country Rd, Columbus, KS 66725-3003 2012-10-10
1629343819 Gary Gene Coleman Pharmacist 20816 W 99th St, Lenexa, KS 66220-2699 2012-03-20
1194097766 Todd Schroeder Pharmacist 929 N Saint Francis Street, Via Christi, Wichita, KS 67214 2012-01-30
1952683013 James Mckee Bredahl Pharmacist 17730 189th St, Tonganoxie, KS 66086-5173 2011-09-15
1245510882 Kevin D. Myers Pharmacist 2110 Nw Topeka Blvd, Topeka, KS 66608-1831 2011-08-26
1972800662 Alireza Ahmadian Pharmacist 14631 S Garnett St, Olathe, KS 66062-8411 2011-02-16
Find all providers with the same taxonomy

Competitor

Search similar providers

City LYONS
Zip Code 67554

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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