Active NPI
William Vendel Edwards, RPH.
- Pharmacist
- Anderson, SC
National Provider Identifier
1124309927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3945
- Practice address
- 3233 Martin Luther King Jr Blvd
Anderson, SC 29625-1714 - Phone
- (864) 226-0522
- Fax
- (864) 222-2089
- NPI assigned
- Sep 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 3945 | SC | Primary |
Addresses
Primary practice location
3233 Martin Luther King Jr Blvd
Anderson, SC 29625-1714
Mailing address
3233 Martin Luther King Jr Blvd
Anderson, SC 29625-1714
Phone (864) 226-0522
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3945 | SC | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1124309927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3233 MARTIN LUTHER KING JR BLVD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296251714",
"telephone_number": "864-226-0522",
"fax_number": "864-222-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3233 MARTIN LUTHER KING JR BLVD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296251714",
"telephone_number": "864-226-0522",
"fax_number": "864-222-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "WILLIAM",
"middle_name": "VENDEL",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "3945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.