Edwin Walter Amelung Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-7374 Issued in MS

Practice address

306 E Sunflower Rd
Cleveland, MS 38732-2732

Phone

(662) 843-9800

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 3648

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)
• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 1266

  • Community/Retail Pharmacy
  • Cleveland, MS
  • NPI 1427080464
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1013225564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W JEFFERSON AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303407",
            "telephone_number": "662-453-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322732",
            "telephone_number": "662-843-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELUNG",
        "first_name": "EDWIN",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-7374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Aguzzi
• Ahr Cleveland TRS Sub, LLC
• Virginia Alexander, M.ED., LPC
• Emily Alford, SLP
• Shauna Danielle Allen, FNP-C
• Anesthesia Services Associates
• Angel Adult Center 11
• Angel Homemaker Services, LLC
• Angel Private Duty Nursing Services LLC
• Dianne Arnold, M.ED., L.P.C., N.C.C

• Pharmacist in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.