Individual provider Active NPI

Adam Jason Waage, PHARM.D

  • Pharmacist
  • Aberdeen, SD
National Provider Identifier
1134908619
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5627 Issued in SD
Practice address
105 S State St Ste 101
Aberdeen, SD 57401-4502
Phone
(605) 225-1945
Fax
(605) 725-0037
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5627 SD Primary

Addresses

Primary practice location

105 S State St Ste 101
Aberdeen, SD 57401-4502

Mailing address

105 S State St Ste 101
Aberdeen, SD 57401-4502
Phone (605) 225-1945

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
5627SDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1134908619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S STATE ST STE 101",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014502",
            "telephone_number": "605-225-1945",
            "fax_number": "605-725-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S STATE ST STE 101",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014502",
            "telephone_number": "605-225-1945",
            "fax_number": "605-725-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAAGE",
        "first_name": "ADAM",
        "middle_name": "JASON",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.