Active NPI
Matthew John Adams, PHARMD
- Pharmacist
- Brooklyn Park, MN
National Provider Identifier
1508136656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118795
- Practice address
- 7700 Brooklyn Blvd
Brooklyn Park, MN 55443-2906 - Phone
- (763) 566-8350
- NPI assigned
- Jan 6, 2012
- Last updated
- Jan 6, 2012
- 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 | 118795 | MN | Primary |
Addresses
Primary practice location
7700 Brooklyn Blvd
Brooklyn Park, MN 55443-2906
Mailing address
6025 Quantico LN N
Plymouth, MN 55446-2225
Phone (612) 281-1481
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118795 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1508136656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 QUANTICO LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554462225",
"telephone_number": "612-281-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 BROOKLYN BLVD",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554432906",
"telephone_number": "763-566-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.