Jerome Edwards, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

809 University Blvd E
Tuscaloosa, AL 35401-2029

Phone

(205) 750-7310

NPI assigned

Aug 25, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1548873045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CHERRY LN",
            "city": "MOUNDVILLE",
            "state": "AL",
            "postal_code": "354742523",
            "telephone_number": "205-861-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-750-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Moundville",
            "state": "AL",
            "postal_code": "354742523",
            "country_code": "US",
            "telephone_number": "205-861-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN",
            "identifier": "T-43089",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "10092398",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Alabama, Inc. Easter Seals West Alabama (Easter Seals West Alabama)
• Tracy Diane Eatman, CRT
• Sara Michelle Eaton, CRNP
• Bethany Holden Edgeworth, CRNP
• Angela Ware Edwards, LGSW
• Maddie Rose Edwards
• Edwfnp LLC (Druid City Wellness Center)
• Hope Ekundayo
• Elizabeth Eve Elder, PHD, LAT, ATC
• Elite Wellness & Chiropractic

• Pharmacy Technician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pharmacy Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.