EDISON PHARMACY LLC (NPI# 1164570099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164570099 |
| Entity Type | Organization |
| Organization Name | EDISON PHARMACY LLC |
| Other Organization Name | LANE DRUG CO |
| Practice Address |
19427 Hartford St Edison GA 39846-5627 |
| Mailing Address |
Po Box 248 Edison GA 39846-0248 |
| Practice Telephone | 2298352212 |
| Practice Fax Number | 2298352572 |
| Mailing Telephone | 2298352211 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | EDWARD F REYNOLDS (OWNER MGR) |
| Authorized Official Telephone | 2298352212 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE000311 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000030533A | 05 | |
| PK | 2012347 | 01 |
| Other Name | Type Code |
|---|---|
| LANE DRUG CO | Doing Business As Name - Organization |
| Street Address |
19427 HARTFORD ST |
| City | EDISON |
| State | GA |
| Zip Code | 39846-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225584022 | Jarrell Alan Ray | Pharmacist | 19427 Hartford St, Edison, GA 39846 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841328663 | Calhoun County Special Education | Local Education Agency (LEA) | 700 Manry St, Edison, GA 39846 | 2007-03-01 |
| 1013253376 | Southern Therapy Associates | Clinic/Center | 19350 Hartford St, Edison, GA 39846-5617 | 2012-12-13 |
| 1215909361 | Tracy Alissa Rosenbaum | Family Medicine | 19519 Hartford St, Edison, GA 39846-5803 | 2006-02-03 |
| 1548646656 | Melissa Hunt Dozier | Nurse Practitioner | 19519 Hartford St, Edison, GA 39846-5803 | 2015-07-31 |
| 1366477838 | Albany Area Primary Health Care, Inc. | Clinic/Center | 19519 Hartford St, Edison, GA 39846-5803 | 2006-07-12 |
| 1699983031 | Stephanie Theresa James | Social Worker | 262 Turner St, Edison, GA 39846-6034 | 2007-05-18 |
| 1649353111 | The Hospital Authority of Miller County | Skilled Nursing Facility | 265 Turner St, Edison, GA 39846-6039 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861214 | Monalben Shah | Pharmacist | 11 Pine Ridge Dr, Edison, NJ 08820-2827 | 2020-11-08 |
| 1073113916 | Caris Decenty | Social Worker | 54 Idlewild Rd, Edison, NJ 08817-4147 | 2020-10-29 |
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1598364127 | Edison Chiropractic, LLC | Chiropractor | 1581 Route 27 Unit 4, Edison, NJ 08817-3477 | 2020-10-24 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1225637549 | Emmanuelfavor LLC | Home Health | 8 Gregory Ct, Edison, NJ 08820-2435 | 2020-10-19 |
| 1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1952918401 | Daniel A Quintin | Physical Therapist | 7 Joshua Ct, Edison, NJ 08820-4617 | 2020-09-29 |
| 1437766839 | Catherine Illenye, Lcsw LLC | Social Worker | 2237 Edward Stec Blvd, Edison, NJ 08837-7007 | 2020-09-29 |
| Find all providers in EDISON | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1790203040 | Carp888 | Pharmacy | 244 Plainfield Ave, Edison, NJ 08817-3739 | 2017-09-07 |
| 1982126942 | Oasis Pharmacy LLC | Pharmacy | 237 Plainfield Avenue, Edison, NJ 08817 | 2017-07-12 |
| 1497188379 | Eastern Health & Beauty LLC | Pharmacy | 1729 Lincoln Hwy, Edison, NJ 08817-3471 | 2013-08-15 |
| 1164733986 | Savings Pharmacy and Surgical Supplies Inc | Pharmacy | 52 State Route 27, Suite 1a, Edison, NJ 08820-3982 | 2010-06-25 |
| 1750439170 | Wasim Corporation | Pharmacy | 4 Brunswick Ave, Edison, NJ 08817-2500 | 2007-01-08 |
| 1972695575 | New Jersey Cvs Pharmacy LLC | Pharmacy | 8 Eden Ave, Edison, NJ 08817-3856 | 2006-09-29 |
| 1255446035 | Saker Shoprites Inc | Pharmacy | Rt 1 Old Post Rd, Edison, NJ 08817 | 2006-08-20 |
| 1225691801 | Community Hospital Group | Pharmacy | 65 James St, Edison, NJ 08820-3947 | 2019-04-18 |
| 1336637958 | Eastern Health & Beauty LLC | Pharmacy | 1653 Lincoln Hwy Unit 2, Edison, NJ 08817-3484 | 2018-04-30 |
| Find all providers in EDISON | ||||
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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.