Individual provider Active NPI

Adam Markesino

  • Pharmacotherapy Pharmacist
  • Wilmington, NC
National Provider Identifier
1619347994
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
5302035707 Issued in MI
Practice address
151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone
(910) 662-9048
NPI assigned
Sep 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 24956 NC
Pharmacotherapy Pharmacist 1835P1200X 5302035707 MI Primary
Pharmacotherapy Pharmacist 1835P1200X PH-3076 HI

Addresses

Primary practice location

151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983

Mailing address

151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-9048

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

State licenses

LicenseStateTypeSpecialty
PH-3076HIMDPharmacotherapy Pharmacist
5302035707MIMDPharmacotherapy Pharmacist
24956NCMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1619347994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SCOTTS HILL MEDICAL DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117983",
            "telephone_number": "910-662-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SCOTTS HILL MEDICAL DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117983",
            "telephone_number": "910-662-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKESINO",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NC",
            "license": "24956",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302035707",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "HI",
            "license": "PH-3076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.