Individual provider Active NPI

Daniel Brent Adams, PHARM.D.

  • Pharmacist
  • Cynthiana, KY
National Provider Identifier
1124289590
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
012431 Issued in KY
Practice address
430 E Pleasant St Ste 2
Cynthiana, KY 41031-1693
Phone
(859) 234-6800
Fax
(859) 235-0444
NPI assigned
Jun 18, 2008
Last updated
Sep 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 012431 KY Primary

Addresses

Primary practice location

430 E Pleasant St Ste 2
Cynthiana, KY 41031-1693

Mailing address

430 E Pleasant St Ste 2
Cynthiana, KY 41031-1693
Phone (859) 234-6800

Other practice location 1

380 W Main St
Morehead, KY 40351-1536
Phone (606) 783-1581

Other identifiers 1

IdentifierTypeStateIssuer
012431OtherKYBOARD OF 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

LicenseStateTypeSpecialty
012431KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Pharmacy of Cynthiana, Inc PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 1

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1124289590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E PLEASANT ST STE 2",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311693",
            "telephone_number": "859-234-6800",
            "fax_number": "859-235-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E PLEASANT ST STE 2",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311693",
            "telephone_number": "859-234-6800",
            "fax_number": "859-235-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 W Main St",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511536",
            "country_code": "US",
            "telephone_number": "606-783-1581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DANIEL",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "012431",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; 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.