Active NPI
Jennifer L Adams, PHARM.D., ED.D.
- Pharmacist
- Meridian, ID
National Provider Identifier
1356481691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5847
- Practice address
- 1311 E Central Dr
Meridian, ID 83642-7991 - Phone
- (703) 739-2330
- NPI assigned
- Feb 7, 2007
- Last updated
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P5847 | ID | Primary |
| Pharmacist | 183500000X | 0202207401 | VA |
Addresses
Primary practice location
1311 E Central Dr
Meridian, ID 83642-7991
Mailing address
3640 Gunston Rd
Alexandria, VA 22302-2006
Phone (703) 801-9609
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 |
|---|---|---|---|
| P5847 | ID | MD | Pharmacist |
| 0202207401 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1356481691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 GUNSTON RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022006",
"telephone_number": "703-801-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 E CENTRAL DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427991",
"telephone_number": "703-739-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARM.D., ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5847",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.