Individual provider Active NPI

Joel A. Adame, D.PH., R.PH.

  • Pharmacist
  • Houston, TX
National Provider Identifier
1154476018
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18740 Issued in TX
Practice address
14119 S Suddley Castle St
Houston, TX 77095-3540
Phone
(281) 861-6398
Fax
(281) 463-8677
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X 18740 TX
Pharmacist 183500000X 18740 TX Primary
Nutrition Support Pharmacist 1835N1003X 13415 OK

Addresses

Primary practice location

14119 S Suddley Castle St
Houston, TX 77095-3540

Mailing address

14119 S Suddley Castle St
Houston, TX 77095-3540
Phone (281) 861-6398

Other identifiers 1

IdentifierTypeStateIssuer
1215092325OtherTXPHARMACY MTM SERVICES

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13415OKMDNutrition Support Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1154476018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 S SUDDLEY CASTLE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953540",
            "telephone_number": "281-861-6398",
            "fax_number": "281-463-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 S SUDDLEY CASTLE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953540",
            "telephone_number": "281-861-6398",
            "fax_number": "281-463-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAME",
        "first_name": "JOEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.PH., R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "TX",
            "license": "18740",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "18740",
            "primary": true
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "OK",
            "license": "13415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY MTM SERVICES",
            "identifier": "1215092325",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.