Active NPI
Adam Wyatt Thomas-Fennelly, PHARMD
- Pharmacist
- Greenwood, IN
National Provider Identifier
1356005854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029542A
- Practice address
- 700 US Highway 31 S
Greenwood, IN 46143-2401 - Phone
- (317) 883-0567
- NPI assigned
- Oct 29, 2021
- Last updated
- Oct 29, 2021
- 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 | 183500000X | 26029542A | IN | Primary |
Addresses
Primary practice location
700 US Highway 31 S
Greenwood, IN 46143-2401
Mailing address
212 Newsom Ave
Columbus, IN 47201-5172
Phone (812) 341-9640
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26029542A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1356005854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 NEWSOM AVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015172",
"telephone_number": "812-341-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 US HIGHWAY 31 S",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461432401",
"telephone_number": "317-883-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS-FENNELLY",
"first_name": "ADAM",
"middle_name": "WYATT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-29",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029542A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
- Therapy Haus Behavioral Health, LLC
- Therapy on Wheels, Inc.
- Athanasios Thomaides, M.D.
- Thomas a Brady Sports Medicine Center, PC (Forte Sports Medicine and Orthopedics)
- Thomas a Brady Sports Medicine Center, PC (Forte Sports Medicine and Orthopedics)
- Kelly Thomas, PT
- Rachel Ann Thomas, MSN, FNP-C
- Chelsea Thompson, RBT
- Gary Thompson, MD
- Jessica Thompson, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.