Bettina J. Adams, PHARM.D.
Individual provider Active NPI Pharmacist · Jackson, MS
NPI 1588972004 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1588972004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-010131 (MS)
- Practice address
- 2885 Terry Rd
Jackson, MS 39212-3051 - Phone
- (601) 373-6783
- Fax
- (601) 371-9137
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-010131 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients | |
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-010131 | MS | Yes |
Addresses
Primary practice location
2885 Terry Rd
Jackson, MS 39212-3051
Mailing address
2885 Terry Rd
Jackson, MS 39212-3051
Phone (601) 373-6783
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.