Active NPI
Glenn Adams
- Pharmacist
- Minden, LA
National Provider Identifier
1114209871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11017
- Practice address
- 606 Homer Rd
Minden, LA 71055-2910 - Phone
- (318) 377-0131
- Fax
- (318) 377-5681
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 11017 | LA | Primary |
Addresses
Primary practice location
606 Homer Rd
Minden, LA 71055-2910
Mailing address
606 Homer Rd
Minden, LA 71055-2910
Phone (318) 377-0131
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | 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": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1114209871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 HOMER RD",
"city": "MINDEN",
"state": "LA",
"postal_code": "710552910",
"telephone_number": "318-377-0131",
"fax_number": "318-377-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 HOMER RD",
"city": "MINDEN",
"state": "LA",
"postal_code": "710552910",
"telephone_number": "318-377-0131",
"fax_number": "318-377-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "GLENN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.