Provider Demographics
NPI:1720414576
Name:ADAMS, WHITNEY LAVEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LAVEE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10515 DORAL CIR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-8258
Mailing Address - Country:US
Mailing Address - Phone:765-242-1657
Mailing Address - Fax:
Practice Address - Street 1:801 CONGRESSIONAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5649
Practice Address - Country:US
Practice Address - Phone:317-818-1059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023213A183500000X
IL051.296561183500000X
OH03132522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist