Provider Demographics
NPI:1215760178
Name:ADAMS, WAYNE C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:C
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11210 APPLEVALE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-8010
Mailing Address - Country:US
Mailing Address - Phone:702-240-7511
Mailing Address - Fax:
Practice Address - Street 1:257 S FAIR OAKS AVE STE 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-4124
Practice Address - Country:US
Practice Address - Phone:626-449-0099
Practice Address - Fax:626-449-7666
Is Sole Proprietor?:No
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV007618183500000X, 1835C0205X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist
No1835C0205XPharmacy Service ProvidersPharmacistCritical Care