Active NPI
Kelly Michael McAdams, RPH
- Pharmacist
- Aurora, IN
National Provider Identifier
1285055814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26016152A
- Practice address
- 5155 Briarwood Dr
Aurora, IN 47001-3002 - Phone
- (812) 584-6656
- NPI assigned
- Dec 28, 2013
- Last updated
- Dec 28, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26016152A | IN | Primary |
| Pharmacist | 183500000X | 010346 | KY | |
| Pharmacist | 183500000X | 03119201 | OH |
Addresses
Primary practice location
5155 Briarwood Dr
Aurora, IN 47001-3002
Mailing address
5155 Briarwood Dr
Aurora, IN 47001-3002
Phone (812) 584-6656
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26016152A | IN | MD | Pharmacist |
| 010346 | KY | MD | Pharmacist |
| 03119201 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388188800000",
"number": "1285055814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 BRIARWOOD DR",
"city": "AURORA",
"state": "IN",
"postal_code": "470013002",
"telephone_number": "812-584-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5155 BRIARWOOD DR",
"city": "AURORA",
"state": "IN",
"postal_code": "470013002",
"telephone_number": "812-584-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCADAMS",
"first_name": "KELLY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-28",
"last_updated": "2013-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016152A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010346",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03119201",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.