DR. ADAM CHARLES WILLETT (NPI# 1427205335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427205335 |
| Entity Type | Individual |
| Full Name | DR. ADAM CHARLES WILLETT |
| Credential | PHARM. D. |
| Practice Address |
2630 Central Ave Ste 1m07 Eielson Afb AK 99702-2325 |
| Practice Telephone | 9073771462 |
| Mailing Telephone | 9073771462 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14839 | OK | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
2203 | AK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069597 | Adam Willett | Social Worker | 975 Kirman Ave, Reno, NV 89502-0997 | 2019-12-04 |
| Street Address |
2630 CENTRAL AVE STE 1M07 |
| City | EIELSON AFB |
| State | AK |
| Zip Code | 99702-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597990 | Thomas A Mccarthy II | Dental Hygienist | 2630 Central Ave Ste 1m07, Attention: Dental Flight, Eielson Afb, AK 99702-2397 | 2020-10-28 |
| 1902218415 | 354 Mdg | Military/U.S. Coast Guard Pharmacy | 2630 Central Ave Ste 1m07, Eielson Afb, AK 99702-2325 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
| 1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
| 1780875617 | Victoria L Ketchum | Specialist | E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 | 2007-08-06 |
| 1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
| 1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
| 1760442297 | Susan Mary Runyan | Dietitian, Registered | 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 | 2006-03-27 |
| 1972166916 | Andrew Joseph Colburn | Registered Nurse | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2019-04-16 |
| 1952885121 | Anthony Ewell-kollmann | Dentist | 2630 Central Ave, Eielson Afb, AK 99702 | 2018-09-24 |
| Find all providers in zip 99702 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255404752 | Renee Loraine Hornsby | Pharmacist | 2630 Central Ave, Suite 200, Eielson Afb, AK 99702-2301 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1447883111 | Demetria Spencer | Pharmacist | 1919 Lathrop St Ste 109, Fairbanks, AK 99701-5937 | 2020-02-20 |
| 1255982245 | Dale Christopher Schuchardt | Pharmacist | 930 Old Steese Hwy Ste A, Fairbanks, AK 99701-3167 | 2019-09-22 |
| 1487122438 | Camtu Nguyen | Pharmacist | 8461 Berry Patch Dr, Anchorage, AK 99502-7265 | 2018-11-07 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1932612066 | Alek Hierro | Pharmacist | 1220 Glacier Ave, Juneau, AK 99801-1501 | 2017-11-11 |
| 1780193318 | Kathryn Angela Kenes | Pharmacist | Po Box 528, Bethel, AK 99559-0528 | 2017-09-27 |
| 1235678491 | Nicholas Marceaux | Pharmacist | 17914 Tonsina Ct, Eagle River, AK 99577-8254 | 2017-02-20 |
| 1255870028 | Rebecca Miller Wall | Pharmacist | 13316 Alex Cir, Eagle River, AK 99577-6714 | 2017-02-13 |
| 1891241121 | Reid Grobe | Pharmacist | 4353 Lake Otis Pkwy, Anchorage, AK 99508 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | EIELSON AFB |
| Zip Code | 99702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.