Active NPI
Terreca Taylor Edwards, PHARMD
- Pharmacist
- Alexandria, LA
National Provider Identifier
1073922035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020682
- Practice address
- 3311 Prescott Rd Ste 110
Alexandria, LA 71301-3917 - Phone
- (318) 528-4381
- Fax
- (318) 528-4385
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 020682 | LA | Primary |
Addresses
Primary practice location
3311 Prescott Rd Ste 110
Alexandria, LA 71301-3917
Mailing address
105A Hilton CT
Pineville, LA 71360-5673
Phone (225) 803-3342
Other practice location 1
3000 S MacArthur Dr
Alexandria, LA 71301-2927
Phone (318) 483-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2370545 | Medicaid | LA |
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 |
|---|---|---|---|
| 020682 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1073922035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105A HILTON CT",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713605673",
"telephone_number": "225-803-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD STE 110",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013917",
"telephone_number": "318-528-4381",
"fax_number": "318-528-4385"
}
],
"practiceLocations": [
{
"address_1": "3000 S MacArthur Dr",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713012927",
"country_code": "US",
"telephone_number": "318-483-7337",
"fax_number": "318-528-6436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "TERRECA",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "020682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2370545",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.