Individual provider Active NPI

Edward J Eybs, RPH. PRS.

  • Pharmacist
  • Jenkintown, PA
National Provider Identifier
1528246782
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02222400 Issued in NJ
Practice address
1585 The Fairway
Jenkintown, PA 19046
Phone
(215) 887-7877
Fax
(215) 230-4958
NPI assigned
Feb 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037758 NY
Pharmacist 183500000X 28RI02222400 NJ Primary
Pharmacist 183500000X RP450484 PA

Addresses

Primary practice location

1585 The Fairway
Jenkintown, PA 19046

Mailing address

4837 Braddock CT
Doylestown, PA 18902-6237
Phone (267) 885-6682

Other identifiers 5

IdentifierTypeStateIssuer
R22224OtherNJRPH LICENSE NUMBER
RP450484OtherPARPH LICENSE NUMBER
037758OtherNYRPH LICENSE NUMBER
28RJ04065OtherNJCERTIFIED IMMUNIZER
RPI010637OtherPACERTIFIED IMMUNIZER

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

LicenseStateTypeSpecialty
28RI02222400NJMDPharmacist
RP450484PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1528246782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 BRADDOCK CT",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026237",
            "telephone_number": "267-885-6682",
            "fax_number": "215-230-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 THE FAIRWAY",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-887-7877",
            "fax_number": "215-230-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYBS",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH.  PRS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-09",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037758",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02222400",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE NUMBER",
            "identifier": "R22224",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE NUMBER",
            "identifier": "RP450484",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE NUMBER",
            "identifier": "037758",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED IMMUNIZER",
            "identifier": "28RJ04065",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED IMMUNIZER",
            "identifier": "RPI010637",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.