Edams LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EDAMS LTC PHARMACY LLC

Doing business as

Edams LTC Pharmacy
First CareRx

Practice address

1735 N 11TH Ave
Tucson, AZ 85705-6527

Phone

(520) 230-8188

Fax

(520) 448-4841

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Yaya Simeon Edamivoh, RPH

Title

Owner

Phone

(602) 900-3037

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• EDAMS LTC PHARMACY Doing business as
• First CareRx Doing business as

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1447605175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N 11TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056527",
            "telephone_number": "520-230-8188",
            "fax_number": "520-448-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N 11TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056527",
            "telephone_number": "520-230-8188",
            "fax_number": "520-448-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDAMS LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "EDAMIVOH",
        "authorized_official_first_name": "YAYA",
        "authorized_official_middle_name": "SIMEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-900-3037",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LONG TERM CARE PHARMACY",
            "identifier": "Y009864",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDAMS LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDAMS LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First CareRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryanna Sue Eckrote
• Amy N Eckstein, LMSW
• Barbara Eckstein, MD
• Eclipse Clinical Research
• Victor Economou
• Edith Edde, DO
• Janet M Eddins
• Steven R Edelman, FNP
• Jennifer Marie Edgar
• Edge Integrative Wellness LLC

• Long Term Care Pharmacy in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.