Provider Demographics
NPI:1992478861
Name:KEARNEY, ADRIAN LAMONT JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:LAMONT
Last Name:KEARNEY
Suffix:JR
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 1:4133 SOUTHPORT TRACE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-2889
Mailing Address - Country:US
Mailing Address - Phone:317-502-2903
Mailing Address - Fax:
Practice Address - Street 1:115 FIELDS ST
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1492
Practice Address - Country:US
Practice Address - Phone:317-834-6678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029346A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist