1730202755 NPI number — MR. ROBERT FRANCIS ADAMS RPH, PC, MBA

Table of content: MR. ROBERT FRANCIS ADAMS RPH, PC, MBA (NPI 1730202755)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730202755 NPI number — MR. ROBERT FRANCIS ADAMS RPH, PC, MBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADAMS
Provider First Name:
ROBERT
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RPH, PC, MBA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730202755
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
551 FT. FILMORE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MESILLA PARK
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88047-9706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-527-0933
Provider Business Mailing Address Fax Number:
505-527-0933

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1205 S SOLANO DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88001-3755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-526-1599
Provider Business Practice Location Address Fax Number:
505-524-3528
Provider Enumeration Date:
04/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  PC00000026, RP-3943 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CS00020712 . This is a "CONTROLLED SUBSTANCE LIC." identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: RP00003943 . This is a "REGISTERED PHARMACIST" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: PC00000026 . This is a "PHARMACIST CLINICIAN" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".




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