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1528339983 NPI number — VICKIE C EDDLEMON PHARMD

NPI Number: 1528339983
Health Care Provider/Practitioner: VICKIE C EDDLEMON PHARMD

Information about “1528339983” NPI (VICKIE C EDDLEMON PHARMD) exists in 1528339983 in HTML format HTML  |  1528339983 in plain Text format TXT  |  1528339983 in PDF (Portable Document Format) PDF  |  1528339983 in an XML format XML  formats.

NPI Number : 1528339983 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528339983",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EDDLEMON",
    "FirstName": "VICKIE",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2775 ANTHONY CV",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NESBIT",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38651-9200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-496-9347",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2380 MOUNT PLEASANT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HERNANDO",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38632-1909",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "901-496-9347",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/17/2012",
    "LastUpdateDate": "03/11/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1835P0018X",
        "TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
        "LicenseNumber": "E-09316",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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