Individual provider Active NPI

Adam Eric Price, PHARMD

  • Pharmacist
  • Northfield, MN
National Provider Identifier
1467722256
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051291467 Issued in IL
Practice address
2323 Highway 3 S
Northfield, MN 55057-5172
Phone
(515) 770-5429
Fax
(507) 403-4004
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051291467 IL Primary

Addresses

Primary practice location

2323 Highway 3 S
Northfield, MN 55057-5172

Mailing address

2323 Highway 3 S
Northfield, MN 55057-5172
Phone (515) 770-5429

Other practice location 1

5001 N Big Hollow Rd
Peoria, IL 61615-3538
Phone (309) 691-9310

Other identifiers 1

IdentifierTypeStateIssuer
120721OtherMNSTATE OF MINNESOTA

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

LicenseStateTypeSpecialty
051291467ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1467722256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 HIGHWAY 3 S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550575172",
            "telephone_number": "515-770-5429",
            "fax_number": "507-403-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 HIGHWAY 3 S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550575172",
            "telephone_number": "515-770-5429",
            "fax_number": "507-403-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 N Big Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616153538",
            "country_code": "US",
            "telephone_number": "309-691-9310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ADAM",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MINNESOTA",
            "identifier": "120721",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.