Edward Lee Coffey Jr., R.PH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

20955 Issued in TX

Practice address

2400 Avenue I
Huntsville, TX 77340-5830

Phone

(936) 437-5300

Fax

(936) 295-7012

NPI assigned

Jul 28, 2014

Last updated

Jul 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Texas Medical Branch at Galveston

  dba Utmb CMC Department of Pharmacy

  • Institutional Pharmacy
  • Huntsville, TX
  • NPI 1770525305
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1215345863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AVENUE I",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405830",
            "telephone_number": "936-437-5300",
            "fax_number": "936-295-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AVENUE I",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405830",
            "telephone_number": "936-437-5300",
            "fax_number": "936-295-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "EDWARD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "20955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mervin Leigh Cleveland Jr., LPC
• Pershelle Lashun Cleveland, RN
• CLP Regency of Texas, LLC (Hospice Compassus - Houston)
• Coastal Access Inc
• Amanda Marie Coffey
• Thomas C Cole Jr., MD
• Jill Page Coleman, M.D.
• Roger Neal Collins, RPH
• Community Pathology Associates of Texas
• Henry Lee Conaway Jr., DDS

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.