Johnny Adamo
Individual provider Active NPI Pharmacist · Wayne, NJ
NPI 1962779975 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1962779975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI024542300 (NJ)
- Practice address
- 77 Willowbrook Blvd
Wayne, NJ 07470-7055 - Phone
- (973) 812-8995
- NPI assigned
- Nov 18, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI024542300 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI024542300 | NJ | Yes |
Addresses
Primary practice location
77 Willowbrook Blvd
Wayne, NJ 07470-7055
Mailing address
362 Park Ave
Midland Park, NJ 07432-1015
Phone (201) 486-7001
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2011. 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.