Individual provider Active NPI

Troy Edwards

  • Pharmacy Technician
  • Portsmouth, VA
National Provider Identifier
1053988378
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0230007350 Issued in VA
Practice address
5914 High St W
Portsmouth, VA 23703-4506
Phone
(757) 484-8400
Fax
(757) 483-5459
NPI assigned
Jun 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0230007350 VA Primary

Addresses

Primary practice location

5914 High St W
Portsmouth, VA 23703-4506

Mailing address

5914 High St W
Portsmouth, VA 23703-4506
Phone (757) 484-8400

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

LicenseStateTypeSpecialty
0230007350VAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Eckerd Corporation PastSince Jun 15, 2021 Accepting new patients
Eckerd Corporation PastSince Jun 15, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1053988378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 HIGH ST W",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034506",
            "telephone_number": "757-484-8400",
            "fax_number": "757-483-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 HIGH ST W",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034506",
            "telephone_number": "757-484-8400",
            "fax_number": "757-483-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230007350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.