Active NPI
Aja Elise Adams, PHARM.D
- Pharmacist
- Fort Pierce, FL
National Provider Identifier
1043816085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61213
- Practice address
- 2220 S US Highway 1
Fort Pierce, FL 34950-5154 - Phone
- (772) 464-0434
- NPI assigned
- Dec 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS61213 | FL | Primary |
Addresses
Primary practice location
2220 S US Highway 1
Fort Pierce, FL 34950-5154
Mailing address
3698 SW Pisano St
Port Saint Lucie, FL 34953-3600
Phone (313) 690-1413
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Pharmacy |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS61213 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607212800000",
"number": "1043816085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3698 SW PISANO ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349533600",
"telephone_number": "313-690-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 S US HIGHWAY 1",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505154",
"telephone_number": "772-464-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "AJA",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-06",
"last_updated": "2020-12-06",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61213",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Pharmacy",
"affiliation": "N",
"address_1": "2220 S US Highway 1",
"city": "Fort Pierce",
"state": "FL",
"country_code": "US",
"postal_code": "349505154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.