EDGE MEDICAL LLC (NPI# 1295910990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295910990 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL LLC |
| Other Organization Name | EDGE MEDICAL LLC |
| Practice Address |
5875 Tyrone Rd Reno NV 89502-6248 |
| Mailing Address |
Po Box 17220 Reno NV 89511-7220 |
| Practice Telephone | 7758290774 |
| Practice Fax Number | 7758290217 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | LESLIE BAKER (CHIEF PHARMACIST) |
| Authorized Official Telephone | 7758290774 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH02207 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2990732 | 01 |
| Other Name | Type Code |
|---|---|
| EDGE MEDICAL LLC | Doing Business As Name - Organization |
| Street Address |
5875 TYRONE RD |
| City | RENO |
| State | NV |
| Zip Code | 89502-6248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314403 | Well Care Services Reno, LLC | Pharmacy | 275 S Wells Ave, Reno, NV 89502-1309 | 2019-09-04 |
| 1326519513 | Spectrum Pharmacy Services LLC | Pharmacy | 4690 Longley Ln # A-39, Reno, NV 89502-5954 | 2018-12-16 |
| 1992049928 | Integricare Clinical Associates Inc | Pharmacy | 10605 Double R Blvd, Reno, NV 89521-8920 | 2012-11-15 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1730224619 | Save Mart Supermarkets | Pharmacy | 195 W Plumb Ln, Reno, NV 89509-3450 | 2007-02-20 |
| 1639213705 | Save Mart Supermarkets | Pharmacy | 4995 Kietzke Ln, Reno, NV 89509-6548 | 2007-02-20 |
| 1720122898 | Save Mart Supermarkets | Pharmacy | 525 Keystone Ave, Reno, NV 89503-4304 | 2007-02-20 |
| 1588709463 | Save Mart Supermarkets | Pharmacy | 10500 N Mccarran Blvd, Reno, NV 89503-1873 | 2007-02-20 |
| 1427121334 | Renown Health Pharmacy | Pharmacy | 75 Pringle Way Ste 103, Reno, NV 89502-8424 | 2006-11-16 |
| 1912017682 | Raleys | Pharmacy | 1630 Robb Dr, Reno, NV 89523-3516 | 2006-08-30 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on EDGE MEDICAL LLC.
| 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.