Individual provider Active NPI

Amber Rae Christensen, PHARM.D.

  • Pharmacist
  • Spirit Lake, IA
National Provider Identifier
1053697169
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21304 Issued in IA
Practice address
1500 18TH St
Spirit Lake, IA 51360-1026
Phone
(712) 336-4551
Fax
(712) 336-4562
NPI assigned
Nov 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21304 IA Primary

Addresses

Primary practice location

1500 18TH St
Spirit Lake, IA 51360-1026

Mailing address

1500 18TH St
Spirit Lake, IA 51360-1026
Phone (712) 336-4551

Other practice location 1

800 Grand Ave
Spencer, IA 51301-3631
Phone (712) 262-0231

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

LicenseStateTypeSpecialty
21304IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Mar 20, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1053697169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 18TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601026",
            "telephone_number": "712-336-4551",
            "fax_number": "712-336-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 18TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601026",
            "telephone_number": "712-336-4551",
            "fax_number": "712-336-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IA",
            "postal_code": "513013631",
            "country_code": "US",
            "telephone_number": "712-262-0231",
            "fax_number": "712-262-2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "AMBER",
        "middle_name": "RAE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.