Active NPI
Justin Lee Adams, PHARM.D
- Pharmacist
- Cape Girardeau, MO
National Provider Identifier
1952074593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2021006206
- Practice address
- 232 Shirley Dr
Cape Girardeau, MO 63701-8478 - Phone
- (573) 332-0329
- NPI assigned
- Jul 29, 2021
- Last updated
- Jul 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 2021006206 | MO | Primary |
Addresses
Primary practice location
232 Shirley Dr
Cape Girardeau, MO 63701-8478
Mailing address
212 E Pottle Ave
Saint Louis, MO 63129-3749
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 |
|---|---|---|---|
| 2021006206 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams East 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1952074593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E POTTLE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631293749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 SHIRLEY DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637018478",
"telephone_number": "573-332-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JUSTIN",
"middle_name": "LEE",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2021006206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.