Active NPI
Marshall Lynn Edwards, RPH
- Pharmacist
- Prestonsburg, KY
National Provider Identifier
1205125994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010030
- Practice address
- 103 Glynnview PLZ
Prestonsburg, KY 41653-7963 - Phone
- (606) 886-1255
- NPI assigned
- Apr 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010030 | KY | Primary |
| Pharmacist | 183500000X | 0202005302 | VA |
Addresses
Primary practice location
103 Glynnview PLZ
Prestonsburg, KY 41653-7963
Mailing address
103 Glynnview PLZ
Prestonsburg, KY 41653-7963
Phone (606) 886-1255
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 |
|---|---|---|---|
| 010030 | KY | MD | Pharmacist |
| 0202005302 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1205125994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GLYNNVIEW PLZ",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416537963",
"telephone_number": "606-886-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GLYNNVIEW PLZ",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416537963",
"telephone_number": "606-886-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MARSHALL",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010030",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005302",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.