Active NPI
Lucas Edenfield, PHARMD
- Pharmacist
- Morgantown, WV
National Provider Identifier
1043057540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0014188
- Practice address
- 897 Chestnut Ridge Rd
Morgantown, WV 26505-2704 - Phone
- (304) 598-2534
- NPI assigned
- Jul 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | RP0014188 | WV | Primary |
Addresses
Primary practice location
897 Chestnut Ridge Rd
Morgantown, WV 26505-2704
Mailing address
63 N Mill St
New Salem, PA 15468-1115
Phone (724) 317-3106
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 |
|---|---|---|---|
| RP0014188 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1043057540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 N MILL ST",
"city": "NEW SALEM",
"state": "PA",
"postal_code": "154681115",
"telephone_number": "724-317-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 CHESTNUT RIDGE RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052704",
"telephone_number": "304-598-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDENFIELD",
"first_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0014188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.