Active NPI
Adonis McCoy, CPHT
- Pharmacy Technician
- Joppa, MD
National Provider Identifier
1205436235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T19847
- Practice address
- 300 Pulaski Hwy
Joppa, MD 21085-3614 - Phone
- (410) 538-5124
- NPI assigned
- Oct 28, 2020
- Last updated
- Oct 31, 2020
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T19847 | MD | Primary |
Addresses
Primary practice location
300 Pulaski Hwy
Joppa, MD 21085-3614
Mailing address
300 Pulaski Hwy
Joppa, MD 21085-3614
Phone (410) 538-5124
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T19847 | MD | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604102400000",
"number": "1205436235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PULASKI HWY",
"city": "JOPPA",
"state": "MD",
"postal_code": "210853614",
"telephone_number": "410-538-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PULASKI HWY",
"city": "JOPPA",
"state": "MD",
"postal_code": "210853614",
"telephone_number": "410-538-5124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "ADONIS",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-31",
"certification_date": "2020-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MD",
"license": "T19847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joppa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.