Active NPI
Joseph Albert Edwards Jr., RPH
- Pharmacist
- Raleigh, NC
National Provider Identifier
1497058028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5523
- Practice address
- 4111 New Bern Ave Ste 101
Raleigh, NC 27610-1372 - Phone
- (919) 250-9987
- Fax
- (919) 250-9775
- NPI assigned
- Dec 21, 2010
- Sex
- Male
- 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 | 5523 | NC | Primary |
Addresses
Primary practice location
4111 New Bern Ave Ste 101
Raleigh, NC 27610-1372
Mailing address
4111 New Bern Ave Ste 101
Raleigh, NC 27610-1372
Phone (919) 250-9987
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5523 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1497058028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 NEW BERN AVE STE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101372",
"telephone_number": "919-250-9987",
"fax_number": "919-250-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 NEW BERN AVE STE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101372",
"telephone_number": "919-250-9987",
"fax_number": "919-250-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JOSEPH",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-21",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "5523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.