Active NPI
Adam John Shumaker, PHARMD., RPH
- Pharmacist
- Simpsonville, SC
National Provider Identifier
1104415561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11856
- Practice address
- 698 Fairview Rd
Simpsonville, SC 29680-6708 - Phone
- (864) 962-8991
- NPI assigned
- Jan 11, 2021
- Sex
- Male
- 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 | 11856 | SC | Primary |
Addresses
Primary practice location
698 Fairview Rd
Simpsonville, SC 29680-6708
Mailing address
105 River Summit Dr
Simpsonville, SC 29681-6563
Phone (864) 770-5566
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11856 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1104415561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 RIVER SUMMIT DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296816563",
"telephone_number": "864-770-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 FAIRVIEW RD",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806708",
"telephone_number": "864-962-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAKER",
"first_name": "ADAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD., RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.