Brent Lee Edison, PHARM.D., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60390978 Issued in WA

Practice address

6720 NE 84TH St
Vancouver, WA 98665-2016

Phone

(360) 828-2289

Fax

(360) 828-2286

NPI assigned

May 11, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542499200000",
    "number": "1730590928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 NE 84TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986652016",
            "telephone_number": "360-828-2289",
            "fax_number": "360-828-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 NE 84TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986652016",
            "telephone_number": "360-828-2289",
            "fax_number": "360-828-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDISON",
        "first_name": "BRENT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-11",
        "last_updated": "2018-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0013593",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0013593",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60390978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Edens, PHARMD
• Dawn Joy Edgar, LMP
• Bradly J Edgerton, PH.D., CCC-A
• Kari Edgren, CRNA
• Susan E Edington, CDP
• Jeanette Lynn Edmister, MA
• Christy Edmiston
• Stephanie Edmonds
• Educational Service District 112
• Educational Service District 112

• Pharmacist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2018; 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.