Patricia Ann Edwards, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302032577 Issued in MI

Practice address

838 4TH Ave
Lake Odessa, MI 48849-1054

Phone

(616) 374-3190

Fax

(616) 374-9120

NPI assigned

May 1, 2008

Last updated

Feb 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patricia Ann Mowbray Former name

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.

• Advanced RX LLC

  • Long Term Care Pharmacy
  • Lake Odessa, MI
  • NPI 1144749425
  NPD (past)
• Advanced RX LLC

  dba New Walker's Professional Pharmacy LTC

  • Community/Retail Pharmacy
  • Lake Odessa, MI
  • NPI 1275641649
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1285800060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 S DERBY RD",
            "city": "SIDNEY",
            "state": "MI",
            "postal_code": "488859753",
            "telephone_number": "616-232-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491054",
            "telephone_number": "616-374-3190",
            "fax_number": "616-374-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MOWBRAY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Conn, LMSW
• Michael J Crete, DDS
• Andrea R Cusack
• Vicki Davison, LLP
• E-Motion Mobility
• Brianna Alexis Eisaman, DO
• Enz Counseling Services LLC
• Jennifer Lyn Fletcher
• Katlyn Franke, MD
• Aaron Blane Freeman, D.D.S

• Pharmacist in Lake Odessa, MI
• Providers in Lake Odessa, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.