Individual provider Active NPI

Terreca Taylor Edwards, PHARMD

  • Pharmacist
  • Alexandria, LA
National Provider Identifier
1073922035
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020682 Issued in LA
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

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2370545MedicaidLA

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

LicenseStateTypeSpecialty
020682LAMDPharmacist

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.

Verify at the official NPI Registry.