MEDICARE: DR. ADAM DOUGLAS BROWN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	013656	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	013656	OTHER	KY	KENTUCKY BOARD OF PHARMACY

General Provider Information

NPI Number	:	1144576422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM DOUGLAS BROWN PHARMD

Provider Business Mailing Address
First Line	:	1650 BRYAN STATION RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-2138
Country	:	US
Telephone Number	:	859-293-6476
Fax Number	:	859-293-6861

Provider Business Practice Location Address
First Line	:	1650 BRYAN STATION RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-2138
Country	:	US
Telephone Number	:	859-293-6476
Fax Number	:	859-293-6861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	06/14/2026

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