Active NPI
Justin Edward Adams, PHARM.D., M.B.A.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fayetteville, NC
National Provider Identifier
1225333818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 20472
- Practice address
- 7300 S Raeford Rd
Fayetteville, NC 28304-6162 - Phone
- (910) 488-2120
- NPI assigned
- Jan 13, 2011
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 20472 | NC | Primary |
Addresses
Primary practice location
7300 S Raeford Rd
Fayetteville, NC 28304-6162
Mailing address
7300 S Raeford Rd
Fayetteville, NC 28304-6162
Phone (910) 488-2120
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20472 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1225333818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 S RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283046162",
"telephone_number": "910-488-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 S RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283046162",
"telephone_number": "910-488-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JUSTIN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHARM.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-13",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "20472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.