Edwina Marlene Lanham, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

S10873 Issued in AZ

Practice address

6602 E Phelps Rd
Scottsdale, AZ 85254-5659

Phone

(480) 991-0962

NPI assigned

Jan 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Edwina Marlene Nicholson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1841537610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 E PHELPS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545659",
            "telephone_number": "480-991-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 E PHELPS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545659",
            "telephone_number": "480-991-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "EDWINA",
        "middle_name": "MARLENE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AZ",
            "license": "S10873",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "20272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWINA",
            "last_name": "NICHOLSON",
            "middle_name": "MARLENE",
            "prefix": "MISS",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Izabela Lange, ED.S.
• Ann Marie Langer, M.D.
• John Edwin Langer, CRNA
• Jason Langley
• Nicole Ashley Langton, CCC-SLP
• Shelly Lynn Lanham, SLP
• David Lanigan, LMSW-19932
• Yashu Lanki
• Raymond Kenneth Lanoue, DDS
• Erin Keely Lanphier, PH.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.