Healthcare Provider Details

I. General information

NPI: 1386992071
Provider Name (Legal Business Name): ADAM F NYE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 E 22ND ST
TUCSON AZ
85710-6586
US

IV. Provider business mailing address

9401 E 22ND ST
TUCSON AZ
85710-6586
US

V. Phone/Fax

Practice location:
  • Phone: 520-721-9250
  • Fax: 520-886-7083
Mailing address:
  • Phone: 520-721-9250
  • Fax: 520-886-7083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS019286
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: