Amber G Swan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS59386 Issued in FL

Practice address

1599 Palm Bay Rd
Palm Bay, FL 32905-3844

Phone

(321) 725-9961

Fax

(321) 725-5701

NPI assigned

Nov 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  dba Cvs Pharmacy #17915

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  dba CVS Pharmacy 03294

  • Pharmacy
  • Palm Bay, FL
  • NPI 1770687675
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1083218770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 ALLIGATOR FLAG CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048193",
            "telephone_number": "276-791-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 PALM BAY RD",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053844",
            "telephone_number": "321-725-9961",
            "fax_number": "321-725-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "AMBER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202215804",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victorya Summers-Adkins
• Sunny Days Adult Care
• Sunpalm Healthcare LLC (Sunpalm Homemaker Companion Services)
• Sunshine Walk in Clinic
• Lovena Suson, P.T.
• Michelle Swann, APRN
• Natalie Swartz, APRN
• Erinn Sweeney
• Swetha Reddy & Pavan Kancharla LLC
• Patricia Swiatkowski

• Pharmacist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.