Marvin Eugene Adams Jr., DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5051 Issued in TN

Practice address

6500 Quince Rd
Memphis, TN 38119-8211

Phone

(901) 624-5720

NPI assigned

Jul 15, 2017

Last updated

Jul 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 3648

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500076800000",
    "number": "1568984003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198211",
            "telephone_number": "901-624-5720",
            "fax_number": "901-624-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198211",
            "telephone_number": "901-624-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARVIN",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-15",
        "last_updated": "2017-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE STATE BOARD OF PHARMACY",
            "identifier": "5051",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Dorris Adams, D.PH
• Lale O Adams, D.D.S.
• Lanitra Yvonne Adams, FNP
• Linika Adams
• Marissa Adams
• Oshjehni Adams, NP
• Paula Michelle Adams, PHARMD
• Rhonda Jean Adams, NP
• Robert Louis Adams, M.D.
• Robert William Adams, PHD MBA

• Pharmacist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; 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.