Active NPI
Amy S Pruett, PHARMD
- Pharmacist
- Gastonia, NC
National Provider Identifier
1023380136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14984
- Practice address
- 2580 Court Dr
Gastonia, NC 28054-2139 - Phone
- (704) 810-3685
- Fax
- (704) 868-3629
- NPI assigned
- Feb 4, 2012
- Last updated
- Feb 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14984 | NC | Primary |
Addresses
Primary practice location
2580 Court Dr
Gastonia, NC 28054-2139
Mailing address
2580 Court Dr
Gastonia, NC 28054-2139
Phone (704) 810-3685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14984 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328313600000",
"number": "1023380136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542139",
"telephone_number": "704-810-3685",
"fax_number": "704-868-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542139",
"telephone_number": "704-810-3685",
"fax_number": "704-868-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "AMY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-04",
"last_updated": "2012-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
- Kimberly Prosise
- Prosperity GRP LLC
- Prosthetic Orthotic Care Center,Inc
- Elizabeth Marie Provost, MD
- Luke Prudich, MD
- Psy'Che' Royal Homecare Services
- Psychiatric Services of Carolinas, P.C.
- Publix North Carolina LP (Publix Pharmacy #1521)
- Pulmonary Clinic of the Carolina's PC
- Azuree Lenae Purcell, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.