Active NPI
Adam Kyle Barnett, PHARM D
- Pharmacist
- Pekin, IL
National Provider Identifier
1619254422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051293281
- Practice address
- 2020 Court St
Pekin, IL 61554-5215 - Phone
- (309) 347-5589
- NPI assigned
- Nov 8, 2011
- Sex
- Male
- Sole proprietor
- No
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.
-
- Pharmacy
- Pekin, IL
- NPI 1376550301
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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 |
|---|---|---|---|
| 051293281 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051293281 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2020 Court St
Pekin, IL 61554-5215
Mailing address
2020 Court St
Pekin, IL 61554-5215
Phone (309) 347-5589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2011.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1619254422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 COURT ST",
"city": "PEKIN",
"state": "IL",
"postal_code": "615545215",
"telephone_number": "309-347-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 COURT ST",
"city": "PEKIN",
"state": "IL",
"postal_code": "615545215",
"telephone_number": "309-347-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETT",
"first_name": "ADAM",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051293281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.