Edge Medical LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH02207 Issued in NV

Legal business name

EDGE MEDICAL LLC

Doing business as

Edge Medical LLC

Practice address

5875 Tyrone Rd
Reno, NV 89502-6248

Phone

(775) 829-0774

Fax

(775) 829-0217

NPI assigned

Jan 2, 2008

Last updated

Apr 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Baker, RPH

Title

Chief Pharmacist

Phone

(775) 829-0774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EDGE MEDICAL LLC Doing business as

Locations

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1295910990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17220",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 TYRONE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026248",
            "telephone_number": "775-829-0774",
            "fax_number": "775-829-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "775-829-0774",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH02207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2990732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGE MEDICAL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicky Eckert
• Vikcy Eckols
• Eddy House
• Candace Kimberly Eddy, M.S.W., LCSW
• Eden Hospice at Carson City, LLC (Eden Hospice)
• Edge Medical Services
• Sarah Micayla Henderson Edge, APRN-FNP
• Kaeai Edgerly, NP-C, APRN
• Ann Edgington, LCSW
• Haley Edgington

• Community/Retail Pharmacy in Reno, NV
• Providers in Reno, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.