Active NPI
Michael Don Adams, PHARMD
- Pharmacist
- Yreka, CA
National Provider Identifier
1912538372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81804
- Practice address
- 475 Bruce St
Yreka, CA 96097-3474 - Phone
- (530) 842-3507
- NPI assigned
- Feb 3, 2020
- Last updated
- Mar 31, 2021
- Sex
- Male
- 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 | 81804 | CA | Primary |
Addresses
Primary practice location
475 Bruce St
Yreka, CA 96097-3474
Mailing address
Fairchild Medical Clinic
475 Bruce Street
Yreka, CA 96097-9530
Phone (530) 842-3507
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 |
|---|---|---|---|
| 81804 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairchild Medical Clinic | Pharmacist | Current | Accepting new patients |
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Locations
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Care Pharmacist
- Yreka, CA
- NPI 1417542606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1912538372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FAIRCHILD MEDICAL CLINIC",
"address_2": "475 BRUCE STREET",
"city": "YREKA",
"state": "CA",
"postal_code": "960979530",
"telephone_number": "530-842-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973474",
"telephone_number": "530-842-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "MICHAEL",
"middle_name": "DON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-03",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.