Greg Duane Edwards, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

10843 Issued in TN

Practice address

923 E Central Ave
La Follette, TN 37766-2768

Phone

(423) 907-1494

Fax

(423) 907-1172

NPI assigned

Apr 3, 2020

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2020.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1194354092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 CEDAR CIR",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574212",
            "telephone_number": "865-805-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 E CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662768",
            "telephone_number": "423-907-1494",
            "fax_number": "423-907-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GREG",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Douglas, OTR/L
• Daniel W Durham
• East Tennessee Children'S Primary Care Center, Inc.
• Eastlake Medical, PLLC
• Hannah Echols, FNP-C
• Jessica Edwards, OT
• Elie Mansour, MD, PC
• Christina Sampieri Elkins
• Elaine Hitch Ervin, DPT
• Bill R Fannon Jr., DPH

• All providers in La Follette, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.