Active NPI
Roger Dean Edwards
- Pharmacist
- Washington, DC
National Provider Identifier
1043736937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010428
- Practice address
- 4061 Minnesota Ave NE
Washington, DC 20019-3541 - Phone
- (202) 388-3100
- Fax
- (202) 388-3102
- NPI assigned
- Aug 22, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | |||
| Licensed Practical Nurse | 164W00000X | LP00016283 | WA | |
| Critical Care Pharmacist | 1835C0205X | PH00010428 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00010428 | WA | |
| Ambulatory Care Pharmacist | 1835P2201X | PH00010428 | WA | |
| Pharmacist | 183500000X | PH00010428 | WA | Primary |
Addresses
Primary practice location
4061 Minnesota Ave NE
Washington, DC 20019-3541
Mailing address
4061 Minnesota Ave NE
Washington, DC 20019-3541
Phone (202) 388-3100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00016283 | WA | MD | Licensed Practical Nurse |
| PH00010428 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We the People Community Health Worker Coalition | Past | Accepting new patients | |
| Platinumcare , LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Washington, DC
- NPI 1558772087
-
dba We the People CHWC
- Clinical Social Worker
- Washington, DC
- NPI 1134088305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043736937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4061 MINNESOTA AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193541",
"telephone_number": "202-388-3100",
"fax_number": "202-388-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 MINNESOTA AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193541",
"telephone_number": "202-388-3100",
"fax_number": "202-388-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ROGER",
"middle_name": "DEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00016283",
"primary": false
},
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "WA",
"license": "PH00010428",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00010428",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "WA",
"license": "PH00010428",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.