MR. JARRETT ALEXANDER EDWARDS (NPI# 1336618859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336618859 |
| Entity Type | Individual |
| Full Name | MR. JARRETT ALEXANDER EDWARDS |
| Credential | PHARMD. |
| Practice Address |
215 Grant Way Wal Mart Pharmacy Du Quoin IL 62832 |
| Mailing Address |
916 Dewey Street Jarrett Alexander Edwards Eldorado IL 62930 |
| Practice Telephone | 6185422488 |
| Practice Fax Number | 6185422346 |
| Mailing Telephone | 6189262911 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.301361 | IL | Pharmacy Service Providers |
| Street Address |
215 GRANT WAY WAL MART PHARMACY |
| City | DU QUOIN |
| State | IL |
| Zip Code | 62832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687944 | Gold Plate Program of Perry County | In Home Supportive Care | 721 N Hickory St, Du Quoin, IL 62832 | 2018-08-01 |
| 1972833770 | Danielle Klump | Nurse Practitioner | 900 N Washington Street, Du Quoin, IL 62832 | 2009-12-30 |
| 1003017849 | Heather Richelman | Physical Therapist | 900 N. Washington, Duquoin, IL 62832 | 2007-05-30 |
| 1295954600 | Duquoin Comm Unit Dist 300 | Clinic/Center | 845 East Jackson Street, Duquoin, IL 62832 | 2007-04-24 |
| 1427106426 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | Us Hwy 51 S Rr 2, Duquion, IL 62832 | 2007-01-08 |
| 1659475879 | Southern Illinois Surgical Appliance Co | Durable Medical Equipment & Medical Supplies | 207 East Main St, Duquoin, IL 62832 | 2006-09-08 |
| 1801909700 | Edward Clay Travis | Family Medicine | 900 N. Washington St, Du Quoin, IL 62832 | 2006-08-16 |
| 1871505941 | John Wesley Melvin | Chiropractor | 420 South Washington St, Duquoin, IL 62832 | 2006-08-13 |
| 1730133505 | Patrick L Riley | Family Medicine | 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | 2006-05-19 |
| 1912490277 | Marshall Browning Hospital Association | Clinic/Center | 20 N Washington St, Du Quoin, IL 62832 | 2018-06-12 |
| Find all providers in zip 62832 | ||||
| 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 |
|---|---|---|---|---|
| 1811598840 | Michael Dean Melvin | Pharmacist | 215 E Grantway St, Du Quoin, IL 62832-1923 | 2020-11-05 |
| 1669072740 | Beth Keith-mudgette | Pharmacist | 215 E Grantway St, Du Quoin, IL 62832-1923 | 2020-10-28 |
| 1073139820 | Robert Erhardt Heisner II | Pharmacist | 204 S Washington St, Du Quoin, IL 62832-1805 | 2020-06-17 |
| 1588287767 | Brad Galli | Pharmacist | 204 S Washington St, Du Quoin, IL 62832-1805 | 2020-05-22 |
| 1578066031 | Kurt Hermann | Pharmacist | 900 N Washington St, Du Quoin, IL 62832-1233 | 2018-03-12 |
| 1801818380 | Alan Gene Morris | Pharmacist | 900 N Washington St, Du Quoin, IL 62832-1230 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JARRETT ALEXANDER EDWARDS.
| 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.