Active NPI
Debbie Moore Edwards
- Pharmacist
- Smithfield, NC
National Provider Identifier
1265740567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6554
- Practice address
- 1180 N Brightleaf Blvd
Smithfield, NC 27577-4228 - Phone
- (919) 938-0591
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 6554 | NC | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 6554 | NC |
Addresses
Primary practice location
1180 N Brightleaf Blvd
Smithfield, NC 27577-4228
Mailing address
3388 Lizzie Mill Rd
Selma, NC 27576-7222
Phone (919) 965-6694
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6554 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1265740567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3388 LIZZIE MILL RD",
"city": "SELMA",
"state": "NC",
"postal_code": "275767222",
"telephone_number": "919-965-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N BRIGHTLEAF BLVD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774228",
"telephone_number": "919-938-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DEBBIE",
"middle_name": "MOORE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "6554",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "6554",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.