Active NPI
Anna Edwards
- Pharmacist
- Corvallis, OR
National Provider Identifier
1336033786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PI-0014568
- Practice address
- 1601 SW Jefferson Ave
Corvallis, OR 97331-8656 - Phone
- (541) 737-3424
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PI-0014568 | OR | Primary |
Addresses
Primary practice location
1601 SW Jefferson Ave
Corvallis, OR 97331-8656
Mailing address
6424 Paint Horse Way
Klamath Falls, OR 97601-9286
Phone (541) 891-1512
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 |
|---|---|---|---|
| PI-0014568 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1336033786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6424 PAINT HORSE WAY",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976019286",
"telephone_number": "541-891-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SW JEFFERSON AVE",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973318656",
"telephone_number": "541-737-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "PI-0014568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.