Active NPI
Jon Michael Edwards, PHARM.D.
- Pharmacist
- Brownsville, TX
National Provider Identifier
1598035636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44509
- Practice address
- 4490 E 14TH St
Brownsville, TX 78521-3240 - Phone
- (956) 542-3891
- NPI assigned
- Jan 6, 2012
- Last updated
- Jan 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 44509 | TX | Primary |
Addresses
Primary practice location
4490 E 14TH St
Brownsville, TX 78521-3240
Mailing address
1213 Elm Ridge LN
Brownsville, TX 78520-9232
Phone (956) 466-8267
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1598035636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 ELM RIDGE LN",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785209232",
"telephone_number": "956-466-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4490 E 14TH ST",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785213240",
"telephone_number": "956-542-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
- Ebony Center PLLC
- Edgar Gomez Dbavilla Dorada Adult Day Care
- Eduardo I Garcia, MD & Associates, PLLC (United Medical & Rehab Center)
- Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
- Gregson Stansfield Edwards, D.P.M
- Richard Andrews Eklund, D.D.S
- El Buen Camino Home Health Care, LLC (El Buen Camino Home Health Care)
- El Dorado Texas Community Service Center
- El Dorado Texas Community Services Center
- El Milagro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.