Active NPI
Adam Abbott
- Pharmacist
- Summersville, WV
National Provider Identifier
1376158741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0010170
- Practice address
- 700 Northside Dr
Summersville, WV 26651-1079 - Phone
- (304) 872-4980
- Fax
- (304) 872-0154
- NPI assigned
- Sep 12, 2020
- Last updated
- Sep 12, 2020
- 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 | RP0010170 | WV | Primary |
Addresses
Primary practice location
700 Northside Dr
Summersville, WV 26651-1079
Mailing address
700 Northside Dr
Summersville, WV 26651-1079
Phone (304) 872-4980
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 |
|---|---|---|---|
| RP0010170 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599868800000",
"number": "1376158741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NORTHSIDE DR",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511079",
"telephone_number": "304-872-4980",
"fax_number": "304-872-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NORTHSIDE DR",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511079",
"telephone_number": "304-872-4980",
"fax_number": "304-872-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-12",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0010170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.