Active NPI
Adam Lawrence Wade, PHARM D
- Pharmacist
- Mansfield, OH
National Provider Identifier
1639483928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03230320
- Practice address
- 715 Richland Mall Ste J
Mansfield, OH 44906-3802 - Phone
- (567) 307-7570
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03230320 | OH | Primary |
Addresses
Primary practice location
715 Richland Mall Ste J
Mansfield, OH 44906-3802
Mailing address
844 N Rock Rd
Ontario, OH 44903-8236
Phone (567) 224-0856
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 |
|---|---|---|---|
| 03230320 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galion Community Hospital | Past | Accepting new patients | |
| Galion Community Hospital | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1639483928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 N ROCK RD",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449038236",
"telephone_number": "567-224-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 RICHLAND MALL STE J",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063802",
"telephone_number": "567-307-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "ADAM",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03230320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.