Andrea Adsit, R.PH.
Individual provider Active NPI Pharmacist · Clayton, NY
NPI 1366629339 · NPPES record last updated Jan 22, 2008
Key facts
- NPI
- 1366629339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 048693 (NY)
- Practice address
- 822 James St
Clayton, NY 13624-1404 - Phone
- (315) 686-5121
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048693 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048693 | NY | Yes |
Addresses
Primary practice location
822 James St
Clayton, NY 13624-1404
Mailing address
822 James St
Clayton, NY 13624-1404
Phone (315) 686-5121
Other providers in Clayton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.