Edgewoodrx LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EDGEWOODRX LLC

Doing business as

Edgewood Pharmacy

Practice address

186 S Friendswood Dr
Friendswood, TX 77546-3915

Phone

(281) 993-4779

Fax

(832) 569-4756

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

EDGEWOODRX LLCAs reported in NPPES

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

Authorized official

Name

Keyur Modi, RPHNPI 1205004439

Title

President/Pharmacist in Charge

Phone

(281) 993-4779

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edgewood Pharmacy Doing business as

Part of

Edgewoodrx LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Edgewoodrx LLC

  dba Edgewood Pharmacy

  • Pharmacy
  • Friendswood, TX
  • NPI 1144771007
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keyur D Modi, R.PH

  • Pharmacist
  • Friendswood, TX
  • NPI 1205004439
  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1235894965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 S FRIENDSWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463915",
            "telephone_number": "281-993-4779",
            "fax_number": "832-569-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S FRIENDSWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463915",
            "telephone_number": "281-993-4779",
            "fax_number": "832-569-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOODRX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGEWOODRX LLC",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "281-993-4779",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149557",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dynamica Concierge Associates
• James Stephen Eaves, D.D.S.
• Stacy L Ebert, D.C.
• Joanna Eckley, MA, LPC ASSOCIATE
• Edgewoodrx LLC (Edgewood Pharmacy)
• Maria Victoria Edquilang, NP-C
• Educare Community Living Corporation - Gulf Coast
• Egerton Clinic P. a.
• Donna Gail Eiteman
• Chinyere Ejim

• Long Term Care Pharmacy in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.