Active NPI
Kevin Edwards, PHARMACIST
- Pharmacist
- Gilbert, AZ
National Provider Identifier
1730495391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S011465
- Practice address
- 2955 E Clifton Ave
Gilbert, AZ 85295-1424 - Phone
- (719) 440-4955
- NPI assigned
- Aug 20, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S011465 | AZ | Primary |
| Naturopath | 175F00000X | 812 | CA |
Addresses
Primary practice location
2955 E Clifton Ave
Gilbert, AZ 85295-1424
Mailing address
2955 E Clifton Ave
Gilbert, AZ 85295-1424
Phone (719) 440-4955
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812 | CA | MD | Naturopath |
| S011465 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1730495391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 E CLIFTON AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951424",
"telephone_number": "719-440-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 E CLIFTON AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951424",
"telephone_number": "719-440-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KEVIN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011465",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.