Active NPI
Edward Lane Jones, R.PH.
- Pharmacist
- Leesburg, GA
National Provider Identifier
1194860239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH010673
- Practice address
- 1553 US Highway 19 S
Leesburg, GA 31763-4966 - Phone
- (229) 432-1210
- Fax
- (229) 432-5959
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | RPH010673 | GA | Primary |
Addresses
Primary practice location
1553 US Highway 19 S
Leesburg, GA 31763-4966
Mailing address
718 Scenic Rte
Cordele, GA 31015-6208
Phone (229) 273-6127
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 |
|---|---|---|---|
| RPH010673 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194860239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 SCENIC RTE",
"city": "CORDELE",
"state": "GA",
"postal_code": "310156208",
"telephone_number": "229-273-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 US HIGHWAY 19 S",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634966",
"telephone_number": "229-432-1210",
"fax_number": "229-432-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "EDWARD",
"middle_name": "LANE",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH010673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.