Adam C Booth, PHARMD
Individual provider Active NPI Pharmacist · Wadsworth, OH
NPI 1700211547 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1700211547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03233292 (OH)
- Practice address
- 780 High St
Wadsworth, OH 44281-1610 - Phone
- (330) 336-2550
- Fax
- (330) 336-2506
- NPI assigned
- Sep 12, 2013
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03233292 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03233292 | OH | Yes |
Addresses
Primary practice location
780 High St
Wadsworth, OH 44281-1610
Mailing address
780 High St
Wadsworth, OH 44281-1610
Phone (330) 336-2550
Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2013. 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.