Jacob Edwards, - Pharmacist in Lyons, KS

Jacob Edwards, is a Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Lyons, Kansas. Jacob Edwards is licensed to practice in Kansas (license number 1-105894) and his current practice location is 921 W Main St, Lyons, Kansas. He can be reached at his office (for appointments etc.) via phone at (620) 509-2169.

NPI number for Jacob Edwards is 1043828163 and his current mailing address is Po Box 167, Lyons, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043828163.

Contact Information

Jacob Edwards,
921 W Main St,
Lyons, KS 67554-1708
(620) 509-2169
Not Available

Healthcare Provider's Profile

Full NameJacob Edwards
GenderMale
SpecialityPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Location921 W Main St, Lyons, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043828163
  • Provider Enumeration Date: 07/15/2020
  • Last Update Date: 07/15/2020

Medical Identifiers

Medical identifiers for Jacob Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043828163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist 1-105894 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Edwards is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Edwards,
Po Box 167,
Lyons, KS 67554-0167

Ph: () -
Jacob Edwards,
921 W Main St,
Lyons, KS 67554-1708

Ph: (620) 509-2169

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› Verified 2 days ago


Pharmacist in Lyons, KS

Mrs. Ashlyn Raye Hammer,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 921 W Main St, Lyons, KS 67554
Phone: 620-509-2169    Fax: 620-509-2184
Lydia Balzer,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 921 W Main St, Lyons, KS 67554
Phone: 620-509-2169    
Alyson Renee Demel, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: Hospital District No. 1 Of Rice County, Lyons, KS 67554
Phone: 620-257-5173    Fax: 620-257-2608

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