Edward Edeh, PHARM D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH014561 Issued in GA

Practice address

1232 South Hairstoh Road
Stone Mountain, GA 30088

Phone

(404) 292-5542

Fax

(404) 292-5582

NPI assigned

Oct 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1518565902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 S HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882715",
            "telephone_number": "404-292-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 SOUTH HAIRSTOH ROAD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30088",
            "telephone_number": "404-292-5542",
            "fax_number": "404-292-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEH",
        "first_name": "EDWARD",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH014561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl H. Eaton, DDS
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• Huzefa Ebrahimji
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• Kimberly Diann Eddins
• Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center
• Denise Edwards, PT
• Wanda Faye Edwards, LPN
• Ellis Ifeanyichukwu Efobi, M.D.
• Ehi Pharmacy Solutions, LLC.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.