Individual provider Active NPI

Adam Tinkous, RPH

  • Pharmacist
  • Brockport, NY
National Provider Identifier
1689997181
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050291 Issued in NY
Practice address
6660 Fourth Section Rd
Brockport, NY 14420-2448
Phone
(585) 637-6685
Fax
(585) 637-7848
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050291 NY Primary

Addresses

Primary practice location

6660 Fourth Section Rd
Brockport, NY 14420-2448

Mailing address

6660 Fourth Section Rd
Brockport, NY 14420-2448
Phone (585) 637-6685

Other identifiers 1

IdentifierTypeStateIssuer
050291OtherNYPHARMACIST LICENSE #

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
050291NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wegmans Food Markets, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1689997181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 FOURTH SECTION RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202448",
            "telephone_number": "585-637-6685",
            "fax_number": "585-637-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 FOURTH SECTION RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202448",
            "telephone_number": "585-637-6685",
            "fax_number": "585-637-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKOUS",
        "first_name": "ADAM",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE #",
            "identifier": "050291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.