Individual provider Active NPI

Amy Ault, PHARMD

  • Pharmacist
  • New Castle, PA
National Provider Identifier
1083077036
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP443718 Issued in PA
Practice address
1211 Wilmington Ave
New Castle, PA 16105-2516
Phone
(724) 656-4650
Fax
(724) 656-4652
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP443718 PA Primary

Addresses

Primary practice location

1211 Wilmington Ave
New Castle, PA 16105-2516

Mailing address

1211 Wilmington Ave
New Castle, PA 16105-2516
Phone (724) 656-4650

Other identifiers 1

IdentifierTypeStateIssuer
1007302610002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCJamesonOutpatientPharmacy@upmcdirect.com Health Information Exchange (HIE)

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
RP443718PAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: upmcjamesonoutpatientpharmacy@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1083077036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 WILMINGTON AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052516",
            "telephone_number": "724-656-4650",
            "fax_number": "724-656-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 WILMINGTON AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052516",
            "telephone_number": "724-656-4650",
            "fax_number": "724-656-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULT",
        "first_name": "AMY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007302610002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCJamesonOutpatientPharmacy@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1211 Wilmington Ave",
            "city": "New Castle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161052516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.