Active NPI
Adam Joseph Pavek, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Duluth, MN
National Provider Identifier
1548424682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 119071
- Practice address
- 615 W Central Entrance
Duluth, MN 55811-5448 - Phone
- (218) 727-3010
- NPI assigned
- Jul 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 119071 | MN | Primary |
Addresses
Primary practice location
615 W Central Entrance
Duluth, MN 55811-5448
Mailing address
4410 Cooke St
Duluth, MN 55804-1950
Phone (218) 343-3637
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 |
|---|---|---|---|
| 119071 | MN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1548424682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 COOKE ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041950",
"telephone_number": "218-343-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W CENTRAL ENTRANCE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558115448",
"telephone_number": "218-727-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVEK",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-17",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MN",
"license": "119071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.