Provider Demographics
NPI:1457894719
Name:ADAMS PHARMACEUTICAL CARE
Entity Type:Organization
Organization Name:ADAMS PHARMACEUTICAL CARE
Other - Org Name:PHARMACY 45
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIOMA
Authorized Official - Middle Name:ADAMAKA
Authorized Official - Last Name:ANYADIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-258-2802
Mailing Address - Street 1:12930 DAIRY ASHFORD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4666
Mailing Address - Country:US
Mailing Address - Phone:832-206-4540
Mailing Address - Fax:832-201-8806
Practice Address - Street 1:12930 DAIRY ASHFORD RD STE 102
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4666
Practice Address - Country:US
Practice Address - Phone:832-206-4540
Practice Address - Fax:832-201-8806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMACY 45
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-18
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149950Medicaid