Adams Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4975 Issued in TN

Legal business name

ADAMS PHARMACY LLC

Doing business as

Adams Pharmacy

Practice address

851 S Shady St
Mountain City, TN 37683-1831

Phone

(423) 727-1210

Fax

(423) 727-1368

NPI assigned

Jan 3, 2012

Last updated

Oct 13, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Adams, PHARMDNPI 1871543686

Title

Owner/Pharmacist in Charge

Phone

(423) 727-1210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adams Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel B Adams Jr., PHARMD

  • Pharmacist
  • Mountain City, TN
  • NPI 1871543686
  NPD Authorized official
• Holly Adams, PHARMD

  • Pharmacist
  • Mountain City, TN
  • NPI 1942870332
  NPD (past)
• Jordan Robertson, PHARMD

  • Pharmacist
  • Mountain City, TN
  • NPI 1427673912
  NPD (past)
• Sondra Wyatt

  • Pharmacist
  • Mountain City, TN
  • NPI 1770127789
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1457621815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S SHADY ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831831",
            "telephone_number": "423-727-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S SHADY ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831831",
            "telephone_number": "423-727-1210",
            "fax_number": "423-727-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "423-727-1210",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4444749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abode Care Partners Al VB, LLC
• Abode Care Partners LTC VB, LLC
• Abode Care Partners VB, LLC
• Adams Pharmacy LLC
• Holly Adams, PHARMD
• Samuel B Adams Jr., PHARMD
• Olubusola Afolayan
• Amy Crosswhite, PLLC (Mountain City Counseling)

• Community/Retail Pharmacy in Mountain City, TN
• Providers in Mountain City, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.