Amy Healy

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · RSM, CA

NPI 1083366744 · NPPES record last updated Jan 24, 2022

Key facts

NPI
1083366744
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
77397 (CA)
Practice address
16 Tierra Seguro
RSM, CA 92688-3236
Phone
(619) 981-3898
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
77397CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 77397 CA Yes

Addresses

Primary practice location

16 Tierra Seguro
RSM, CA 92688-3236

Mailing address

16 Tierra Seguro
RSM, CA 92688-3236

Other providers in RSM, CA

All providers in RSM, CA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

Sources for this page

Verify at the official NPI Registry.