Healthcare Provider Details

I. General information

NPI: 1912303934
Provider Name (Legal Business Name): ANDREA ADAMS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 BARING BLVD
SPARKS NV
89434-8673
US

IV. Provider business mailing address

1255 BARING BLVD
SPARKS NV
89434-8673
US

V. Phone/Fax

Practice location:
  • Phone: 775-359-6500
  • Fax:
Mailing address:
  • Phone: 775-359-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16901-40
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13733074-1701
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number23009
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: