MR. JEROME EDWARDS (NPI# 1548873045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548873045 |
| Entity Type | Individual |
| Full Name | MR. JEROME EDWARDS |
| Credential | CPHT |
| Practice Address |
809 University Blvd E Tuscaloosa AL 35401-2029 |
| Mailing Address |
80 Cherry Ln Moundville AL 35474-2523 |
| Practice Telephone | 2057507310 |
| Mailing Telephone | 2058619229 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PHARMACY TECHNICIAN | T-43089 | 01 |
| AL | PTCB | 10092398 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Cherry Ln, Moundville, AL 354742523 | 2058619229 |
| Street Address |
809 UNIVERSITY BLVD E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751226 | Helena T Buchalter | Pathology | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2005-06-27 |
| 1215552021 | Lauren Kyzar | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-06-08 |
| 1912532664 | Clint Winfield Miller | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-03-03 |
| 1124667332 | James Lewis Fenley IIi | Registered Nurse | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-01-06 |
| 1609418342 | Joshua Wayne Bankston | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-10-15 |
| 1821651589 | Jenna L Gaut | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-04-18 |
| 1881150738 | Tyler Matthew Elmore | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2071 | 2019-02-15 |
| 1093282691 | Courtney Hendrix | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-11-01 |
| 1841766375 | Haley Tipps | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-10-23 |
| 1619463163 | Relias Emergency Medicine Specialists of Regional, LLC | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316566854 | Beau Harrison | Pharmacy Technician | 35670 County Road 8, Florence, AL 35634-4332 | 2020-04-14 |
| 1972090918 | Nonna D Tindal | Pharmacy Technician | 2910 Morgan Rd Ste 1282910, Bessemer, AL 35022-6484 | 2018-04-16 |
| 1083141204 | Kristen House Mayes | Pharmacy Technician | 121 N 20th St Ste 1, Opelika, AL 36801-5454 | 2017-05-18 |
| 1295170199 | Danielle Alexander | Pharmacy Technician | 3153 Pinecreek Loop, Bessemer, AL 35022-4975 | 2013-05-06 |
| 1043556194 | Sarah Joubert | Pharmacy Technician | 501 Taylor Oaks Cir Apt 307, Montgomery, AL 36116-8552 | 2012-12-18 |
| 1306017595 | Jon Gary Hicks | Pharmacy Technician | 146 Three Sons Dr, Birmingham, AL 35226-2961 | 2008-03-17 |
| 1033308911 | Gary Allan Honeycutt II | Pharmacy Technician | 622 Broad St, Gadsden, AL 35901-3722 | 2007-10-17 |
| 1679784409 | Justin Rome Simmons | Pharmacy Technician | 8001 Tabor Rd, Gadsden, AL 35904-6526 | 2007-05-24 |
| 1548314206 | Cynthia Faye Warren | Pharmacy Technician | 2300 County Road 129, Waterloo, AL 35677-3656 | 2007-01-22 |
| 1134297120 | Randy Ward Davidson | Pharmacy Technician | 61 River Rd, Mcintosh, AL 36553-0247 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.