Individual provider Active NPI

Devin Eddings, PHARM.D.

  • Pharmacist
  • Tyler, TX
National Provider Identifier
1619553732
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60946 Issued in TX
Practice address
4285 Chandler Hwy
Tyler, TX 75702-7604
Phone
(903) 630-9250
NPI assigned
Mar 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60946 TX Primary

Addresses

Primary practice location

4285 Chandler Hwy
Tyler, TX 75702-7604

Mailing address

4285 Chandler Hwy
Tyler, TX 75702-7604
Phone (903) 630-9250

Other identifiers 2

IdentifierTypeStateIssuer
746612OtherTXNATIONAL ASSOCIATION OF BOARDS OF PHARMACY
60946OtherTXTEXAS STATE BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL deddings@qltcpharmacysolutions.com QLTC Pharmacy Solutions, LLC

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

LicenseStateTypeSpecialty
60946TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
QLTC Pharmacy Solutions, LLC PastSince Mar 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1619553732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 CHANDLER HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027604",
            "telephone_number": "903-630-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 CHANDLER HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027604",
            "telephone_number": "903-630-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINGS",
        "first_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "60946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF BOARDS OF PHARMACY",
            "identifier": "746612",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "60946",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "deddings@qltcpharmacysolutions.com",
            "affiliation": "Y",
            "affiliationName": "QLTC Pharmacy Solutions, LLC",
            "address_1": "4285 Chandler Hwy",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757027604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.