Active NPI
Adam Joseph Neitzel
- Pharmacist
- Danville, KY
National Provider Identifier
1336740612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015930
- Practice address
- 100 Walton Ave
Danville, KY 40422-8414 - Phone
- (859) 236-2411
- NPI assigned
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 183500000X | 015930 | KY | Primary |
Addresses
Primary practice location
100 Walton Ave
Danville, KY 40422-8414
Mailing address
104 Wellington CV
Danville, KY 40422-2700
Phone (859) 374-0726
Other practice location 1
104 Wellington Cv
Danville, KY 40422-2700
Phone (859) 236-2411
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 |
|---|---|---|---|
| 015930 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1336740612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WELLINGTON CV",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222700",
"telephone_number": "859-374-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WALTON AVE",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404228414",
"telephone_number": "859-236-2411"
}
],
"practiceLocations": [
{
"address_1": "104 Wellington Cv",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "KY",
"postal_code": "404222700",
"country_code": "US",
"telephone_number": "859-236-2411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEITZEL",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.