Active NPI
Fellix Edison, PHARMD
- Pharmacist
- Sparks, NV
National Provider Identifier
1679185144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19537
- Practice address
- 9705 Pyramid Way
Sparks, NV 89441-7541 - Phone
- (775) 425-9400
- Fax
- (775) 425-9409
- NPI assigned
- Aug 17, 2020
- Last updated
- Aug 17, 2020
- 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 | 19537 | NV | Primary |
Addresses
Primary practice location
9705 Pyramid Way
Sparks, NV 89441-7541
Mailing address
9705 Pyramid Way
Sparks, NV 89441-7541
Phone (775) 425-9400
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 |
|---|---|---|---|
| 19537 | NV | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9705 Pyramid Way
Sparks, NV 89441
Phone (775) 425-9400
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": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1679185144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9705 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894417541",
"telephone_number": "775-425-9400",
"fax_number": "775-425-9409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9705 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894417541",
"telephone_number": "775-425-9400",
"fax_number": "775-425-9409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDISON",
"first_name": "FELLIX",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.