Active NPI
Brandon Joseph Adam, PHARMACIST
- Pharmacist
- Tumwater, WA
National Provider Identifier
1528466232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60567753
- Practice address
- 520 Cleveland Ave
Tumwater, WA 98501 - Phone
- (360) 943-7600
- NPI assigned
- Dec 11, 2014
- Last updated
- Dec 21, 2016
- 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 | PH60567753 | WA | Primary |
Addresses
Primary practice location
520 Cleveland Ave
Tumwater, WA 98501
Mailing address
520 Cleveland Ave
Tumwater, WA 98501
Phone (509) 990-5406
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 |
|---|---|---|---|
| PH60567753 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1528466232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 CLEVELAND AVE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98501",
"telephone_number": "509-990-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 CLEVELAND AVE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98501",
"telephone_number": "360-943-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAM",
"first_name": "BRANDON",
"middle_name": "JOSEPH",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-11",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60567753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
- 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1503)
- Khaldoun M Abbasi
- Acceptance in Action Occupational Therapy LLC
- Active Healing Massage Therapy
- Acupuncture Clinic (Bing Zhou Acupuncture Clinic)
- Rob Adams, CDP, GAC
- David Michael Adkinson
- Advanced Iom Specialists
- Advanced Pharmacy Solutions, LLC
- Taiwo Agabi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.