Adam Olm-Shipman

Primary specialty

PharmacistTaxonomy code 183500000X

License

064275 Issued in NY

Practice address

4366 Buffalo Rd
North Chili, NY 14514-1206

Phone

(585) 594-5689

Fax

(585) 594-5712

NPI assigned

Jan 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • North Chili, NY
  • NPI 1235386756
  NPD
• Walgreen Co

  • Pharmacy
  • Shawnee, KS
  • NPI 1023248713
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1215435599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 FIELD ST APT B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201944",
            "telephone_number": "913-660-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 BUFFALO RD",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141206",
            "telephone_number": "585-594-5689",
            "fax_number": "585-594-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLM-SHIPMAN",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-102926",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017025931",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Ann Mims, LMSW, PH.D
• Lauren Monthie, PSYD
• Tamese Latoya Murray, NP
• Jarcelyn Nelson, LPN
• William J O'Neal, DMD
• Vincent Panzera, DPT
• Henry M. Paszko, M.D.
• Shondell Lynette Peoples, LPN
• Jacob W Phillips, M.D.
• Katrina Phillips, RN

• Pharmacist in North Chili, NY
• Providers in North Chili, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.