Edart Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020791050 Issued in OH

Legal business name

EDART PHARMACY INC

Practice address

1400 W Broad St
Columbus, OH 43222-1345

Phone

(614) 274-9600

Fax

(614) 274-5260

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Edward Humphries

Title

Pharmacy Manager

Phone

(614) 274-9600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EDART PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1053465401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221345",
            "telephone_number": "614-274-9600",
            "fax_number": "614-274-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221345",
            "telephone_number": "614-274-9600",
            "fax_number": "614-274-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "614-274-9600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020791050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0988025",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2073624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keitha Lynn Eckles, NP
• Lindsay R Eckman, CNM
• David M. Eckmann, MD
• Jacob Eckstein, MD
• Toyia Ector
• Melissa Danielle Edell, NP
• Steven M. Edell, APRN.CNP
• John Edelstein, PHARMD, BCPS
• Eden Behavioral Health Residential Treatment Center
• Eden Counseling Center LLC

• Community/Retail Pharmacy in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.