Healthcare Provider Details

I. General information

NPI: 1437108230
Provider Name (Legal Business Name): ADAM ROY CHIAPPINI PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S 6TH AVE
TUCSON AZ
85723-0001
US

IV. Provider business mailing address

3225 W INA RD APT # 4223
TUCSON AZ
85741-2159
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-1450
  • Fax: 520-629-4700
Mailing address:
  • Phone: 856-904-8676
  • Fax: 520-629-4700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number28RI03017100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: