Individual provider Active NPI

Hyun Edwards

  • Pharmacist
  • Allentown, PA
National Provider Identifier
1851744619
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP450635 Issued in PA
Practice address
791 N Krocks Rd
Costco Pharmacy
Allentown, PA 18106-9046
Phone
(484) 273-7066
Fax
(484) 273-7057
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP450635 PA Primary

Addresses

Primary practice location

791 N Krocks Rd
Costco Pharmacy
Allentown, PA 18106-9046

Mailing address

791 N Krocks Rd
Costco Pharmacy
Allentown, PA 18106-9046
Phone (484) 273-7066

Other identifiers 2

IdentifierTypeStateIssuer
RP450635OtherPAPHARMACIST LICENSE
RPI010614OtherPAAUTHORIZATION TO ADMINISTER INJECTABLES

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

LicenseStateTypeSpecialty
RP450635PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1851744619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 N KROCKS RD",
            "address_2": "COSTCO PHARMACY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069046",
            "telephone_number": "484-273-7066",
            "fax_number": "484-273-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 N KROCKS RD",
            "address_2": "COSTCO PHARMACY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069046",
            "telephone_number": "484-273-7066",
            "fax_number": "484-273-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RP450635",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZATION TO ADMINISTER INJECTABLES",
            "identifier": "RPI010614",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2022; 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.