Healthcare Provider Details

I. General information

NPI: 1700416542
Provider Name (Legal Business Name): ZACHARY ALEXANDER ADAMS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2020
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 KROGER CTR
MOREHEAD KY
40351-8895
US

IV. Provider business mailing address

300 KROGER CTR
MOREHEAD KY
40351-8895
US

V. Phone/Fax

Practice location:
  • Phone: 606-783-1476
  • Fax: 606-780-9484
Mailing address:
  • Phone: 606-783-1476
  • Fax: 606-780-9484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number017814
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: