Provider Demographics
NPI:1639255185
Name:ADAMS PHARMACY INC
Entity Type:Organization
Organization Name:ADAMS PHARMACY INC
Other - Org Name:ADAMS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SHERMAN
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-223-0444
Mailing Address - Street 1:309 N HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4915
Mailing Address - Country:US
Mailing Address - Phone:972-223-0444
Mailing Address - Fax:972-223-2176
Practice Address - Street 1:309 N HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4915
Practice Address - Country:US
Practice Address - Phone:972-223-0444
Practice Address - Fax:972-223-2176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143263Medicaid
1281870001Medicare NSC
TX143263Medicaid