Healthcare Provider Details

I. General information

NPI: 1063327567
Provider Name (Legal Business Name): DAVID ADAMUS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 E 46TH ST
INDIANAPOLIS IN
46205-1452
US

IV. Provider business mailing address

1827 N MERIDIAN ST UNIT 202
INDIANAPOLIS IN
46202-1981
US

V. Phone/Fax

Practice location:
  • Phone: 317-253-1636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26032239A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: