Shreya Amin, PHARMD
Individual provider Active NPI Pharmacist · Brunswick, GA
NPI 1083160238 · NPPES record last updated Aug 28, 2016
Key facts
- NPI
- 1083160238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH029350 (GA)
- Practice address
- 11 Glynn PLZ
Brunswick, GA 31520-3641 - Phone
- (912) 602-6146
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029350 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH029350 | GA | Yes |
Addresses
Primary practice location
11 Glynn PLZ
Brunswick, GA 31520-3641
Mailing address
347 Oak Grove Island Dr
Brunswick, GA 31523-8918
Phone (912) 223-4041
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.