Active NPI
Bryan D Adams, DPH.
- Pharmacist
- Mannford, OK
National Provider Identifier
1164539623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10957
- Practice address
- 124 Coonrod Ave
Mannford, OK 74044-3437 - Phone
- (918) 865-2164
- NPI assigned
- Aug 23, 2006
- 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 | 10957 | OK | Primary |
Addresses
Primary practice location
124 Coonrod Ave
Mannford, OK 74044-3437
Mailing address
PO Box 971
Mannford, OK 74044-0971
Phone (918) 865-2164
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltro LLC | Past | Accepting new patients | |
| Baltro 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Mannford, OK
- NPI 1306909916
-
- Community/Retail Pharmacy
- Mannford, OK
- NPI 1730437955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164539623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 971",
"city": "MANNFORD",
"state": "OK",
"postal_code": "740440971",
"telephone_number": "918-865-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 COONROD AVE",
"city": "MANNFORD",
"state": "OK",
"postal_code": "740443437",
"telephone_number": "918-865-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BRYAN",
"middle_name": "D",
"credential": "DPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mannford, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.