MR. EDWARD STANLEY EDMUNDSON III (NPI# 1821300419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821300419 |
| Entity Type | Individual |
| Full Name | MR. EDWARD STANLEY EDMUNDSON III |
| Credential | RPH |
| Practice Address |
419 W Broad St Saint Pauls NC 28384-1537 |
| Mailing Address |
4176 English Garden Way Raleigh NC 27612-4351 |
| Practice Telephone | 9108651242 |
| Mailing Telephone | 9195711889 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6263 | NC | Pharmacy Service Providers |
| Street Address |
419 W BROAD ST |
| City | SAINT PAULS |
| State | NC |
| Zip Code | 28384-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417039215 | Kerr Drug Inc | Pharmacy | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2006-10-20 |
| 1124587944 | Evagelos Anagnostopoulos | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2019-03-19 |
| 1598165060 | Ravi Patel | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2014-09-02 |
| 1467888990 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2013-09-16 |
| 1699018549 | Janel Alis Curry | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2013-03-28 |
| 1124382627 | Betsy Taylor Cain | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2012-06-28 |
| 1730407727 | Elisabeth Marie Moore | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2010-05-14 |
| 1649404559 | Andries Stefanus Nagel | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770128936 | Anew Dawn Counseling and Consulting, Pllc | Social Worker | 209-a West Armfield Street, Saint Pauls, NC 28384 | 2019-11-12 |
| 1710437843 | Luke Gooden | Pharmacist | 120 Odom Road, Saint Pauls, NC 28384 | 2016-10-13 |
| 1225464225 | Elite Aaolescent Care, Inc. | Counselor | 20513 S Highway 301 North, St. Pauls, NC 28384 | 2013-09-23 |
| 1942510177 | Beck Chiropractic Center, Pa | Chiropractor | 123 North Second Street, St Pauls, NC 28384 | 2010-10-21 |
| 1376858696 | Cromartie /spring Village | Assisted Living Facility | 508 E. Worth St, St. Pauls, NC 28384 | 2010-08-11 |
| 1902084684 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 153 E Mclean St., St. Pauls, NC 28384 | 2008-02-05 |
| 1699960302 | Primary Care of St. Pauls, LLC | Family Medicine | 122 East Blue Street, St. Pauls, NC 28384 | 2007-09-06 |
| 1720137037 | Three Rivers Medical Center | Internal Medicine | 580 W. Mclean St., St. Pauls, NC 28384 | 2007-01-09 |
| 1295818441 | Carolina Premier Health Care Pa | Family Medicine | 630 S Bennett Street, Southern Pines, NC 28384 | 2006-10-23 |
| 1235114570 | Encompass Health Care Inc | Durable Medical Equipment & Medical Supplies | 108 West Broad St, St Pauls, NC 28384 | 2005-12-09 |
| Find all providers in zip 28384 | ||||
| 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 |
|---|---|---|---|---|
| 1710437843 | Luke Gooden | Pharmacist | 120 Odom Road, Saint Pauls, NC 28384 | 2016-10-13 |
| 1497390579 | Lauren B Cribb | Pharmacist | 217 W Broad St, Saint Pauls, NC 28384-1533 | 2019-11-12 |
| 1174173140 | Tammy Tyndall Long | Pharmacist | 217 W Broad St, Saint Pauls, NC 28384-1533 | 2019-09-12 |
| 1124587944 | Evagelos Anagnostopoulos | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2019-03-19 |
| 1851839500 | Stephanie Hair | Pharmacist | 120 Odom Road, Saint Pauls, NC 28384-0120 | 2017-02-02 |
| 1841689759 | Joseph Williams | Pharmacist | 217 W Broad St, Saint Pauls, NC 28384-1533 | 2015-01-15 |
| 1598165060 | Ravi Patel | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2014-09-02 |
| 1699018549 | Janel Alis Curry | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2013-03-28 |
| 1124382627 | Betsy Taylor Cain | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2012-06-28 |
| 1730407727 | Elisabeth Marie Moore | Pharmacist | 419 W Broad St, Saint Pauls, NC 28384-1537 | 2010-05-14 |
| Find all providers in SAINT PAULS | ||||
| City | SAINT PAULS |
| Zip Code | 28384 |
Please comment or provide details below to improve the information on MR. EDWARD STANLEY EDMUNDSON III.
| 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.