DR. EDWIN SELF IV PHARMD
NPI 1306589643
Pharmacist in Eatonton, GA

Active since April 14, 2022
201 WALMART DR, EATONTON, GA 31024(706) 485-4546 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edwin Self Iv Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN SELF IV PHARMD (NPI 1306589643) is an individual pharmacist in Eatonton, Georgia, licensed in Georgia (RPH028443) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1306589643
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. EDWIN SELF IVCredential: PHARMD
Location Address201 WALMART DREatonton, GA 31024-6761
Mailing Address307 Carriage WayEatonton, GA 31024-1303
Sole ProprietorNo
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1306589643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH028443
Definition
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.
201 WALMART DR, Eatonton, GA 31024

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
201 WALMART DR
EATONTON, GA 31024
Technician/Technologist (Optician)
201 WALMART DR
EATONTON, GA 31024
Optometrist
201 WALMART DR
EATONTON, GA 31024
Optometrist
201 WALMART DR
EATONTON, GA 31024
Pharmacist
201 WALMART DR
EATONTON, GA 31024
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
201 WALMART DR
EATONTON, GA 31024
Eyewear Supplier
201 WALMART DR
EATONTON, GA 31024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Self's NPI number?

The NPI number for Edwin Self is 1306589643. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Edwin Self located?

Edwin Self practices at 201 Walmart Dr, Eatonton, GA 31024. The listed phone number is (706) 485-4546.

What is Edwin Self's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Edwin Self was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.