Individual provider Active NPI

Wayne C Adams, PHARMD.

  • Pharmacotherapy Pharmacist
  • Pasadena, CA
National Provider Identifier
1215760178
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
007618 Issued in NV
Practice address
257 S Fair Oaks Ave Ste 200
Pasadena, CA 91105-4124
Phone
(626) 449-0099
Fax
(626) 449-7666
NPI assigned
Aug 24, 2024
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
007618NVMDPharmacist

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 007618 NV
Critical Care Pharmacist 1835C0205X 007618 NV
Pharmacotherapy Pharmacist 1835P1200X 007618 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

257 S Fair Oaks Ave Ste 200
Pasadena, CA 91105-4124

Mailing address

11210 Applevale CT
Las Vegas, NV 89138-8010
Phone (702) 240-7511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2024.

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1215760178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 APPLEVALE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891388010",
            "telephone_number": "702-240-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S FAIR OAKS AVE STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054124",
            "telephone_number": "626-449-0099",
            "fax_number": "626-449-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "WAYNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "007618",
            "primary": false
        },
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "NV",
            "license": "007618",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NV",
            "license": "007618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.