Leah Bethany Edenfield, PHARMD, BCOP, CPP

Primary specialty

PharmacistTaxonomy code 183500000X

License

25391 Issued in NC

Practice address

Medical Center Boulevard
Winston Salem, NC 27157-0001

Phone

(336) 713-9867

Fax

(336) 713-9858

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1699302786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CREEKSHIRE WAY APT 220",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033096",
            "telephone_number": "757-651-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BOULEVARD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-713-9867",
            "fax_number": "336-713-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "LEAH",
        "middle_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCOP, CPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation (Rite Aid Pharmacy 11321)
• Theresa Economos, LCSW
• Roshen Thomas Edathil, CRNA
• Eduardo Edelman Saul, M.D.
• Diane Elizabeth Edelman, LPC
• Mary Beth Edens
• Kendra Dian Edge, PA
• Amanda Elizabeth Edgerton, CCC, SLP
• John Robert Edminister, MD
• Lisa Kight Edmonds, FNP-C

• Pharmacist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.