JACOB EDWARDS (NPI# 1043828163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124547427 | Jacob Edwards | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2017-09-18 |
1619346848 | Jacob Edwards | Physical Therapist | 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 | 2015-09-17 |
1083093678 | Jacob Edwards | Chiropractor | 6401 N Interstate Dr, Suite 148, Norman, OK 73069-9515 | 2015-05-28 |
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 |
Street Address |
921 W MAIN ST |
City | LYONS |
State | KS |
Zip Code | 67554-1708 |
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 |
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 Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
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 |
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 |
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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.