Harrieth N Aladiume

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24008 Issued in FL

Legal business name

HARRIETH N ALADIUME

Doing business as

Edge Pharmacy

Practice address

2039 E Edgewood Dr
Lakeland, FL 33803-3601

Phone

(863) 937-1050

Fax

(863) 937-1055

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Abiy Tekle, PHARMD

Title

Pharmacist/Manager

Phone

(339) 224-0842

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EDGE PHARMACY Doing business as

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1063642197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033601",
            "telephone_number": "863-937-1050",
            "fax_number": "863-937-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033601",
            "telephone_number": "863-937-1050",
            "fax_number": "863-937-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIETH N ALADIUME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "TEKLE",
        "authorized_official_first_name": "ABIY",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "339-224-0842",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001428600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Absher Harper, ARNP
• Rachel Irene Harrell, LMT,NCBTMB,MMP
• Stuart Kent Harrell, OD
• Robert R. Harriage, M. D.
• Adam Harrick
• Harriette Harrigan, LPN
• Alicia Harris, ST
• Chakita S Harris
• Diane M Harris, PHARM. D.
• Frances Marie Harris, MD

• Community/Retail Pharmacy in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.