Adam Mack

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

20923 Issued in AL

Practice address

2 Greeno Rd S
Fairhope, AL 36532-2048

Phone

(251) 928-6558

NPI assigned

Jul 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1487206090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PEACHES LN",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325338500",
            "telephone_number": "850-516-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREENO RD S",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322048",
            "telephone_number": "251-928-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "20923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Hudoba Lopez, DC
• Lori Myers MD PC
• Lynn E. Yonge, M.D., P.C.
• Barbara Ann Lyrene, MSW
• Robert Mace
• Alexandra Macpherson, DO
• John Alton Maddox, DMD
• Elizabeth Maginn, RDLDCDE
• Mario Magnone, MD
• Eric W Mak, MD

• Community/Retail Pharmacy in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.