Active NPI
Jeannine Louise McClinton-Adams, PHARM D
- Pharmacist
- San Rafael, CA
National Provider Identifier
1730744764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46423
- Practice address
- 1600 Los Gamos Dr Ste 220
San Rafael, CA 94903-1842 - Phone
- (707) 766-9624
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 46423 | CA | Primary |
Addresses
Primary practice location
1600 Los Gamos Dr Ste 220
San Rafael, CA 94903-1842
Mailing address
723 Atherton Ave
Novato, CA 94945-2618
Phone (707) 766-9624
Other practice location 1
1321 Upland Dr Ste 1561
Houston, TX 77043-4718
Phone (707) 766-9624
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 |
|---|---|---|---|
| 46423 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639180800000",
"number": "1730744764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 ATHERTON AVE",
"city": "NOVATO",
"state": "CA",
"postal_code": "949452618",
"telephone_number": "707-766-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LOS GAMOS DR STE 220",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031842",
"telephone_number": "707-766-9624"
}
],
"practiceLocations": [
{
"address_1": "1321 Upland Dr Ste 1561",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770434718",
"country_code": "US",
"telephone_number": "707-766-9624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLINTON-ADAMS",
"first_name": "JEANNINE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2021-12-11",
"certification_date": "2021-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.