Look up the most recent NPI and PECOS records

Adam Kaye

Pharmacist

Pharmacy Service Providers

3131 W Hammer Ln, Alternate: 2488 N California St, Stockton,Ca 95204, Stockton, CA 95209-2747

(209) 476-8819 (209) 946-3278

PECOS Enrollment

Based on the most recent information from CMS, provider Adam Kaye does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1285917443
Provider Type
Individual
Full Name
Kaye, Adam
Title
Dr.
Credential
PHARM.D.,FASCP,FCPHA

Gender
Male
Sole Proprietor
No
Enumeration Date
9/23/2011
Last Updated
5/18/2015

Contact Information

Practice Location

3131 W Hammer Ln, Alternate: 2488 N California St, Stockton,Ca 95204, Stockton, CA 95209-2747

(209) 476-8819

Unlisted Fax

Mailing Location

PO Box 7502, 2488 N California St, Stockton,Ca 95204, Stockton, CA 95267-0502

(209) 946-3278

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 48004 California
Code 1835P0018X	Description Pharmacist Pharmacy Service Providers	License 48004 California

Adam Kaye

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Simpson, Thomas Russel

Khan, Amir T

Lee, Bertram

Aguirre Luna, Karla Marina

Beseda, Mark Paul

Bennett, William Luther

Loth, David

Lagpacan, Roland Rillamas

Lee, Alyson Mau

Dacanay, Robert M