Provider Demographics
NPI:1477853521
Name:ADAMS, KARL D (RPH)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:D
Last Name:ADAMS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 S HIGHWAY 395
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-2623
Mailing Address - Country:US
Mailing Address - Phone:541-564-1285
Mailing Address - Fax:541-564-1288
Practice Address - Street 1:990 S HIGHWAY 395
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-2623
Practice Address - Country:US
Practice Address - Phone:541-564-1285
Practice Address - Fax:541-564-1288
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-8568183500000X
OR85681835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist