DR. GREG DUANE EDWARDS (NPI# 1194354092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194354092 |
Entity Type | Individual |
Full Name | DR. GREG DUANE EDWARDS |
Credential | PHARMD |
Practice Address |
923 E Central Ave La Follette TN 37766-2768 |
Mailing Address |
332 Cedar Cir Jacksboro TN 37757-4212 |
Practice Telephone | 4239071494 |
Practice Fax Number | 4239071172 |
Mailing Telephone | 8658057817 |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 10843 | TN | Pharmacy Service Providers |
Street Address |
923 E CENTRAL AVE |
City | LA FOLLETTE |
State | TN |
Zip Code | 37766-2768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
1124657960 | Krista Jo Shouse | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2020-04-03 |
1689223489 | Ivy Lee Massengale | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2019-09-05 |
1841790177 | Lee Seargeant IIi | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2018-02-13 |
1457899882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2017-02-06 |
1427591999 | Douglas Roberts | Physical Therapist | 923 E Central Ave, La Follette, TN 37766-2768 | 2016-11-30 |
1851610356 | Kimberly Jean Rose | Physician Assistant | 923 E Central Ave, La Follette, TN 37766-2768 | 2010-05-24 |
1508196924 | Melissa Elaine Welden | Nurse Practitioner | 923 E Central Ave, La Follette, TN 37766-2768 | 2010-01-07 |
1245499581 | Roseann Michelle Basarich | Physical Therapist | 923 E Central Ave, La Follette, TN 37766-2768 | 2008-06-02 |
1891852125 | Thomas L Cohen | Specialist | 923 E Central Ave, Radiology Department, La Follette, TN 37766-2768 | 2007-01-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
Find all providers in zip 37766 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730572710 | Julie Lindsay | Pharmacist | 2221 Jacksboro Pike Ste B1, La Follette, TN 37766-3063 | 2015-03-14 |
1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
1124657960 | Krista Jo Shouse | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2020-04-03 |
1841790177 | Lee Seargeant IIi | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2018-02-13 |
1073989182 | Whitney Jordan | Pharmacist | 2109 Jacksboro Pike, La Follette, TN 37766-3003 | 2015-08-12 |
1225312317 | Sarah C Harris | Pharmacist | 2109 Jacksboro Pike, La Follette, TN 37766-3003 | 2011-10-06 |
1205110491 | Ray Howe Irwin Jr. | Pharmacist | 2109 Jacksboro Pike, La Follette, TN 37766-3003 | 2011-10-05 |
1083845119 | Ann Raewyn Snodderly | Pharmacist | 310 E Central Ave, La Follette, TN 37766-3617 | 2009-08-06 |
1215128004 | Marcus Fayne Cole Jr. | Pharmacist | 502 W Central Ave, La Follette, TN 37766-3400 | 2007-08-06 |
Find all providers in LA FOLLETTE |
City | LA FOLLETTE |
Zip Code | 37766 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.