Individual provider Active NPI

Adam McCoy, PHARM. D.

  • Pharmacist
  • Indianapolis, IN
National Provider Identifier
1548860802
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26027016A Issued in IN
Practice address
9240 N Meridian St Ste 140
Indianapolis, IN 46260-2368
Phone
(317) 343-2056
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.295704 IL
Pharmacist 183500000X 0214002143 VA
Pharmacist 183500000X 26027016A IN Primary

Addresses

Primary practice location

9240 N Meridian St Ste 140
Indianapolis, IN 46260-2368

Mailing address

9240 N Meridian St Ste 140
Indianapolis, IN 46260-2368
Phone (317) 343-2056

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)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051.295704ILMDPharmacist
26027016AINMDPharmacist
0214002143VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Pharmacy 2 LLC CurrentSince Oct 1, 2018 Accepting new patients
Indiana Nephrology and Internal Medicine, P.C. CurrentSince Nov 1, 2020 Accepting new patients

Locations

9240 N Meridian St
Ste 140
Indianapolis, IN 46260
Phone (317) 343-2056

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1548860802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602368",
            "telephone_number": "317-343-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602368",
            "telephone_number": "317-343-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ADAM",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.295704",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0214002143",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26027016A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.