Donell Adam
Individual provider Active NPI Pharmacist · Minot, ND
NPI 1457799249 · NPPES record last updated Jun 13, 2013
Key facts
- NPI
- 1457799249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5067 (ND)
- Practice address
- 1804 24TH St SW
Minot, ND 58701-8102 - Phone
- (701) 793-4660
- NPI assigned
- Jun 13, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5067 | ND | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5067 | ND | Yes |
Addresses
Primary practice location
1804 24TH St SW
Minot, ND 58701-8102
Mailing address
1804 24TH St SW
Minot, ND 58701-8102
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2013. 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.