Active NPI
Adam Utley, PHARM.D.
- Pharmacist
- Petoskey, MI
National Provider Identifier
1164845889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038170
- Practice address
- 416 Connable Ave
Pharmacy Department
Petoskey, MI 49770-2212 - Phone
- (231) 487-4217
- Fax
- (231) 487-4817
- NPI assigned
- Jan 31, 2014
- 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 | 5302038170 | MI | Primary |
Addresses
Primary practice location
416 Connable Ave
Pharmacy Department
Petoskey, MI 49770-2212
Mailing address
416 Connable Ave
Pharmacy Department
Petoskey, MI 49770-2212
Phone (231) 487-4217
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302038170 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1164845889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 CONNABLE AVE",
"address_2": "PHARMACY DEPARTMENT",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702212",
"telephone_number": "231-487-4217",
"fax_number": "231-487-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 CONNABLE AVE",
"address_2": "PHARMACY DEPARTMENT",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702212",
"telephone_number": "231-487-4217",
"fax_number": "231-487-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTLEY",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.