Jeffery R Adams, RPH
Individual provider Active NPI Pharmacist · Las Vegas, NV
NPI 1609091107 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609091107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15557 (NV)
- Practice address
- 1961 S Las Vegas Blvd #101
Las Vegas, NV 89104-3024 - Phone
- (702) 650-4417
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15557 | NV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15557 | NV | Yes |
Addresses
Primary practice location
1961 S Las Vegas Blvd #101
Las Vegas, NV 89104-3024
Mailing address
7460 Comanche Canyon Ave
Las Vegas, NV 89113-3024
Phone (702) 358-8330
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.