
File ERX_EXTERNAL_PERSON(52.48) Data List
| NAME |
LAST NAME |
FIRST NAME |
MIDDLE NAME |
SUFFIX |
PREFIX |
PERSON TYPE |
SPECIALTY |
ASSOCIATED ERX PHARMACY |
NCPDP ID |
NPI |
DEA # |
HIN |
STATE LICENSE NUMBER |
2017 COMMUNICATION |
2017 DIRECT ADDRESS |
2017 STATE LICENCE # |
2017 MEDICARE NUMBER |
2017 MEDICAID NUMBER |
2017 UPIN |
2017 DEA NUMBER |
2017 HIN |
2017 SOCIAL SECURITY |
2017 NPI |
2017 CERTIFICATE TO PRESCRIBE |
2017 DATA 2000 WAIVER ID |
2017 MUTUALLY DEFINED |
2017 REMS ID |
2017 STATE CS NUMBER |
2017 PL NCPDP ID |
2017 PL STATE LICENSE NUMBER |
2017 PL MEDICARE NUMBER |
2017 PL MEDICAID NUMBER |
2017 PL UPIN |
2017 PL FACILITY ID |
2017 PL DEA NUMBER |
2017 PL HIN |
2017 PL NPI |
2017 PL MUTUALLY DEFINED ID |
2017 PL REMS HEALTHCARE ID |
2017 PL BUSINESS NAME |
VETERINARIAN? |
BUSINESS NAME |
COUNTRY CODE |
PRESCRIBER PLACE OF SERVICE |
FORMER LAST NAME |
FORMER FIRST NAME |
FORMER MIDDLE NAME |
FORMER SUFFIX |
FORMER PREFIX |
COMMUNICATION |
STREET ADDRESS LINE 1 |
ADDRESS LINE 2 |
CITY |
STATE/PROVINCE |
POSTAL CODE |
AGENT LAST NAME |
AGENT FIRST NAME |
AGENT MIDDLE NAME |
AGENT SUFFIX |
AGENT PREFIX |
IDENTIFICATION |
AGENT FORMER LAST NAME |
AGENT FORMER FIRST NAME |
AGENT FORMER MIDDLE NAME |
AGENT FORMER SUFFIX |
AGENT FORMER PREFIX |