Active NPI
Neil Lucas Edlen, PHARMD.
- Pharmacist
- Mount Airy, NC
National Provider Identifier
1598066466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P1779
- Practice address
- 364 N South St
Mount Airy, NC 27030-3532 - Phone
- (850) 776-3804
- NPI assigned
- Nov 9, 2010
- Last updated
- Jul 6, 2021
- 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 | P1779 | NC | Primary |
Addresses
Primary practice location
364 N South St
Mount Airy, NC 27030-3532
Mailing address
PO Box 6713
Mount Airy, NC 27030-6713
Phone (850) 776-3804
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1779 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Meds RX | Current | Accepting new patients | |
| Innovative Meds RX | Current | Accepting new patients |
Locations
364 N South St
Mount Airy, NC 27030
Phone (336) 789-5050
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": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1598066466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6713",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270306713",
"telephone_number": "850-776-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 N SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303532",
"telephone_number": "850-776-3804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDLEN",
"first_name": "NEIL",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-09",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "P1779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Marcy Easter, PTA
- Molly Kay Easter, NP
- Sherrie Dawn Easter, CADC
- Eckerd Corporation (Rite Aid Pharmacy 11315)
- Jason W Edsall, M.D.
- Clinton Jamie Edwards, MA, M.ED, LCAS, CSI
- Regina Louise Edwards, BSW, MS, CRC, CCM
- Ica Draughn Eldridge, NC LMBT# 12464
- Susan Floyd Elium, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.