OrganizationActive
Edison Pharmacy LLC
NPI 1164570099 · Community/Retail Pharmacy · Edison, GA
Edison Pharmacy LLC is a Community/Retail Pharmacy organization in Edison, GA (NPI 1164570099).
Provider details
- NPI number
- 1164570099
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Edward Reynolds, Owner Mgr(229) 835-2212
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19427 Hartford St
Edison, GA 39846-5627
Phone: (229) 835-2212
Fax: (229) 835-2572
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 248
Edison, GA 39846-0248
Other names (DBA / former)
- Doing business as
- Lane Drug Co
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2015-10-27
Frequently asked questions
- What is Edison Pharmacy LLC's NPI number?
- Edison Pharmacy LLC's National Provider Identifier (NPI) is 1164570099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edison Pharmacy LLC?
- Edison Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Edison Pharmacy LLC located?
- Edison Pharmacy LLC's practice location on file with NPPES is 19427 Hartford St, Edison, GA 39846-5627.
- What is Edison Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Edison Pharmacy LLC is (229) 835-2212.
- Who is the authorized official for Edison Pharmacy LLC?
- The authorized official listed on Edison Pharmacy LLC's NPPES record is Edward Reynolds, Owner Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edison Pharmacy LLC's NPI active?
- Yes — Edison Pharmacy LLC's NPI (1164570099) is active in the NPPES registry as of the last update on 2015-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.