EDGEWOOD DRUG INC (NPI# 1972687614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972687614 |
Entity Type | Organization |
Organization Name | EDGEWOOD DRUG INC |
Other Organization Name | EDGEWOOD LEGEND DRUG |
Practice Address |
115 N Houston St Edgewood TX 75117-2502 |
Mailing Address |
Po Box 659 Edgewood TX 75117-0659 |
Practice Telephone | 9038961473 |
Practice Fax Number | 9038961481 |
Mailing Telephone | 9039861473 |
Mailing Fax Number | 9038961481 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2017-02-28 |
Authorized Official Name | TAMI CRAWFORD (OWNER) |
Authorized Official Telephone | 9038961473 |
Authorized Official Credential | R.PH |
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 |
6782 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2102565 | 01 | |
TX | 142867 | 05 |
Other Name | Type Code |
---|---|
EDGEWOOD LEGEND DRUG | Doing Business As Name - Organization |
Street Address |
115 N HOUSTON ST |
City | EDGEWOOD |
State | TX |
Zip Code | 75117-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871909275 | Edgewood Rural Healthh Clinic | Family Medicine | 106 East Pine Street, Edgewood, TX 75117 | 2014-07-07 |
1790910263 | Edith Head | Physical Therapist | 108 N Houston, Edgewood, TX 75117 | 2009-05-27 |
1457493769 | Edgewood Isd | Local Education Agency (LEA) | 804 East Pine St, Edgewood, TX 75117 | 2007-02-13 |
1811969165 | Shannon E Phillips Jr. | Nurse Practitioner | 116 N. Houston St., Edgewood, TX 75117 | 2006-02-02 |
1740512417 | Dana Hullum | Speech-Language Pathologist | 108 N Houston, Edgewood, TX 75117 | 2010-02-05 |
1366585218 | Yvonne Carol Dixon | Licensed Vocational Nurse | 608 N Houston St, Edgewood, TX 75117-2303 | 2007-02-14 |
1912407677 | Frances Mae Cornwell | Licensed Vocational Nurse | 303 Bowie St, Edgewood, TX 75117-2347 | 2018-02-19 |
1861714628 | Gober LLC | Occupational Therapist | 108 N Houston St, Edgewood, TX 75117-2500 | 2010-02-22 |
1588164115 | Cindy Rea Wilhite | Licensed Vocational Nurse | 104 Johnson St, Edgewood, TX 75117-2708 | 2018-02-20 |
1659773828 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 504 W Pine St, Edgewood, TX 75117-2944 | 2014-09-19 |
Find all providers in zip 75117 |
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] |
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1811038300 | N&n Business Enterprises Inc | Pharmacy | 1401 Pulaski Hwy, Suite U, Edgewood, MD 21040-1398 | 2007-02-09 |
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1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
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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.