Provider Demographics
NPI:1639756018
Name:FEREBEE, EDYE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EDYE
Middle Name:
Last Name:FEREBEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 ROXANNA RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1120
Mailing Address - Country:US
Mailing Address - Phone:336-207-0964
Mailing Address - Fax:
Practice Address - Street 1:801 PENNSYLVANIA AVE SE STE 120
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2167
Practice Address - Country:US
Practice Address - Phone:202-524-8137
Practice Address - Fax:202-999-4510
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC100003558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist