Active NPI
Alexander Eddo, PHAMD
- Pharmacist
- Safford, AZ
National Provider Identifier
1346720257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023165
- Practice address
- 755 S 20TH Ave
Safford, AZ 85546-3322 - Phone
- (928) 428-2291
- NPI assigned
- Aug 20, 2018
- Last updated
- Aug 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | S023165 | AZ | Primary |
Addresses
Primary practice location
755 S 20TH Ave
Safford, AZ 85546-3322
Mailing address
755 S 20TH Ave
Safford, AZ 85546-3322
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 |
|---|---|---|---|
| S023165 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1346720257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S 20TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S 20TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463322",
"telephone_number": "928-428-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDO",
"first_name": "ALEXANDER",
"credential": "PHAMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Safford, AZ
- Dovetree Counseling Associates, Inc.
- Dovetreecounseling Associates, Inc.
- Mick Gene Drage, PA-C
- Kimberly Ann Draper, LPC
- DSW Enterprises Inc (Walton Drug)
- Eden Home Health of Safford, LLC (Eden Home Health)
- Eden Hospice at Sierra Vista, LLC (Eden Hospice)
- John Kevin Ekman, FNP- C, PMHNP
- Kacey M Ekman, PNP
- Elkins ASC LLC (Gila Valley Procedure Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.