Active NPI
Mary Edwards, PHARMD
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1033827563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024613
- Practice address
- 12880 Airline Hwy
Baton Rouge, LA 70817-5105 - Phone
- (225) 751-3611
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.024613 | LA | Primary |
Addresses
Primary practice location
12880 Airline Hwy
Baton Rouge, LA 70817-5105
Mailing address
16333 Columns Way Apt 8204
Baton Rouge, LA 70817-7749
Phone (910) 922-1274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.024613 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1033827563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16333 COLUMNS WAY APT 8204",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708177749",
"telephone_number": "910-922-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12880 AIRLINE HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175105",
"telephone_number": "225-751-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MARY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.