Dominick Adlich, PHARMD
Individual provider Active NPI Pharmacist · Richmond, MO
NPI 1891387718 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1891387718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2020023096 (MO)
- Practice address
- 508 Johnny Walker LN Ste B
Richmond, MO 64085-1804 - Phone
- (816) 776-6926
- NPI assigned
- Feb 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 2020023096 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duffett Holdings LLC | Current |
Accepting new patients | |
| Duffett Holdings LLC | Current |
Accepting new patients | |
| Minuteman Pharmacy1St LLC | Past |
Accepting new patients |
Locations
508 Johnny Walker Ln
#B
Richmond, MO 64085
Phone (816) 776-6926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2020023096 | MO | Yes |
Addresses
Primary practice location
508 Johnny Walker LN Ste B
Richmond, MO 64085-1804
Mailing address
545 S Business Highway 13
Lexington, MO 64067-1437
Phone (660) 259-3455
Other practice location 1
545 S Business Highway 13
Lexington, MO 64067-1437
Phone (660) 259-3455
Other providers in Richmond, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. 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.