Individual provider Active NPI

Adam John Schulte, PHARM.D.

  • Pharmacist
  • Lincoln, NE
National Provider Identifier
1053698415
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14371 Issued in NE
Practice address
2620 W Van Dorn St
Lincoln, NE 68522-9288
Phone
(402) 471-7805
Fax
(402) 471-7861
NPI assigned
Nov 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 120642 MN
Pharmacist 183500000X 16479-040 WI
Pharmacist 183500000X 14371 NE Primary

Addresses

Primary practice location

2620 W Van Dorn St
Lincoln, NE 68522-9288

Mailing address

2620 W Van Dorn St
Lincoln, NE 68522-9288
Phone (402) 471-7805

Other practice location 1

9825 Hospital Dr
Suite 100
Maple Grove, MN 55369-4479
Phone (763) 581-9200

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

LicenseStateTypeSpecialty
120642MNMDPharmacist
14371NEMDPharmacist
16479-040WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Pharmacy Maple Grove Past Accepting new patients
Nebraska Department of Corrections Pharmacy 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1053698415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W VAN DORN ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685229288",
            "telephone_number": "402-471-7805",
            "fax_number": "402-471-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W VAN DORN ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685229288",
            "telephone_number": "402-471-7805",
            "fax_number": "402-471-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9825 Hospital Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694479",
            "country_code": "US",
            "telephone_number": "763-581-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-12",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120642",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16479-040",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "14371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.