Active NPI
Izell Ricardo Adams, NUCLEAR PHARMACY
- Nuclear Pharmacist
- Tampa, FL
National Provider Identifier
1508207002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- NP367
- Practice address
- 7023 Waterside Dr
Tampa, FL 33617-7362 - Phone
- (813) 404-5448
- NPI assigned
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS21238 | FL | |
| Nuclear Pharmacist | 1835N0905X | NP367 | FL | Primary |
Addresses
Primary practice location
7023 Waterside Dr
Tampa, FL 33617-7362
Mailing address
7023 Waterside Dr
Tampa, FL 33617-7362
Phone (813) 404-5448
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS21238 | FL | MD | Pharmacist |
| NP367 | FL | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1508207002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 WATERSIDE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336177362",
"telephone_number": "813-404-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 WATERSIDE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336177362",
"telephone_number": "813-404-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "IZELL",
"middle_name": "RICARDO",
"credential": "NUCLEAR PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS21238",
"primary": false
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "FL",
"license": "NP367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.