Provider Demographics
NPI:1154476018
Name:ADAME, JOEL A (DPH, RPH)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:A
Last Name:ADAME
Suffix:
Gender:M
Credentials:DPH, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14119 S SUDDLEY CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3540
Mailing Address - Country:US
Mailing Address - Phone:281-861-6398
Mailing Address - Fax:281-463-8677
Practice Address - Street 1:14119 S SUDDLEY CASTLE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3540
Practice Address - Country:US
Practice Address - Phone:281-861-6398
Practice Address - Fax:281-463-8677
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187401835N1003X, 183500000X
OK134151835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1215092325OtherPHARMACY MTM SERVICES