Provider Demographics
NPI:1215563457
Name:RODRIGUEZ CECENAS, ADRIANA (PHARMD (PHARMACIST))
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:RODRIGUEZ CECENAS
Suffix:
Gender:F
Credentials:PHARMD (PHARMACIST)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 JENKINS PRINTING DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-9364
Mailing Address - Country:US
Mailing Address - Phone:828-461-4932
Mailing Address - Fax:
Practice Address - Street 1:401 W A ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-3954
Practice Address - Country:US
Practice Address - Phone:828-466-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC292971835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist