Charlotte M Edmondson, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

14377 Issued in AL

Practice address

561 Al Highway 69 S
Hanceville, AL 35077-3403

Phone

(256) 287-9099

Fax

(256) 287-2817

NPI assigned

Oct 28, 2006

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edmondson Drug Company Inc

  dba Lakeside Pharmacy

  • Community/Retail Pharmacy
  • Hanceville, AL
  • NPI 1215979885
  NPD (past) Authorized official
• Arrowhead Pharmaceuticals, Inc.

  • Pharmacy
  • Hanceville, AL
  • NPI 1295179810
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1932285301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 5TH AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553620",
            "telephone_number": "256-708-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 AL HIGHWAY 69 S",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350773403",
            "telephone_number": "256-287-9099",
            "fax_number": "256-287-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "CHARLOTTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cullman Regional Medical Center (Hanceville Health Center)
• Dodge City Medical Clinic, Inc.
• Dube Family Dentistry Inc
• Peter Wade Dube, DMD
• Edmondson Drug Company Inc (Lakeside Pharmacy)
• Ashley Frey, CRNP
• Eileen M Gallagher, DO
• Zachary Blake Gentry
• Whitney Lauren Greene, M.S. CCC-SLP
• Hanceville Acute Care and Wellness Center, LLC

• Pharmacist in Hanceville, AL
• Providers in Hanceville, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.