JEFFREY DAVIS EDDY (NPI# 1336401892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336401892 |
| Entity Type | Individual |
| Full Name | JEFFREY DAVIS EDDY |
| Credential | RPH |
| Practice Address |
2792 Keller Ln Williamstown WV 26187-8309 |
| Practice Telephone | 3044884284 |
| Mailing Telephone | 3044884284 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
25560 | OH | Pharmacy Service Providers |
| Street Address |
2792 KELLER LN |
| City | WILLIAMSTOWN |
| State | WV |
| Zip Code | 26187-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594757 | Mountain River Physical Therapy, LLC | Clinic/Center | 108 Osprey Drive, Suite B, Williamstown, WV 26187 | 2020-10-05 |
| 1669984738 | Michael Shawn Frazier | Technician | 413 Henderson Ave., Williamstown, WV 26187 | 2017-10-30 |
| 1881053783 | Jessica Foss | Massage Therapist | 1113 Highland Ave, Williamstown, WV 26187 | 2016-02-19 |
| 1619302924 | First Settlement Physical Therapy | Clinic/Center | 601 Highland Ave, Williamstown, WV 26187 | 2013-09-05 |
| 1518091446 | Karen Elizabeth Wright | Home Health Aide | 3890 Williamstown Pike, Williamstown, WV 26187 | 2007-03-15 |
| 1992871834 | Stephen A Davis | Dentist | 447 Oakwood Avenue, Williamstown, WV 26187 | 2006-11-24 |
| 1720181241 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 2399 Williams Highway, Williamstown, WV 26187 | 2006-09-07 |
| 1083212666 | Timinia Jaquell Edwards | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-15 |
| 1508464298 | Adam Wade | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-14 |
| 1003414707 | Tammy Johnson | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-14 |
| Find all providers in zip 26187 | ||||
| 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 |
|---|---|---|---|---|
| 1346640406 | Angela Dawkins | Pharmacist | 9503 Middletown Mall, Fairmont, WV 26554-2195 | 2014-08-26 |
| 1780988022 | Gregg Michael Stern | Pharmacist | 505 Virginia Ave., Smithers, WV 25186-0577 | 2010-12-30 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1053636704 | Patrick Robert Huffman | Pharmacist | 200 Veterans Avenue, Beckley, WV 25801 | 2010-04-06 |
| 1548425994 | Laurie Ann Fromm | Pharmacist | 112 Partridge Ln, Beckley, WV 25801-3606 | 2008-07-25 |
| 1295341741 | Lindsey Christine Judy | Pharmacist | 72 Whitewater Ave, Fayetteville, WV 25840-9648 | 2020-09-21 |
| 1700490125 | Kate Forman | Pharmacist | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2020-09-02 |
| 1477162964 | Robert Logan Moneypenny | Pharmacist | 1 Medical Center Dr, Dept of Pharmaceutical Services 8045, Morgantown, WV 26506-1200 | 2020-07-30 |
| 1174132088 | Megan Ciborowski | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-07-27 |
| 1649896077 | Carol S Crosmun | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTOWN |
| Zip Code | 26187 |
Please comment or provide details below to improve the information on JEFFREY DAVIS EDDY.
| 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.