Holly E Amonett, PHARM.D
Individual provider Active NPI Pharmacist · Richmond Hill, GA
NPI 1093073389 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1093073389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH025700 (GA)
- Practice address
- 9390 Ford Ave Ste 16
Richmond Hill, GA 31324-6419 - Phone
- (912) 459-4400
- NPI assigned
- Apr 24, 2012
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025700 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH025700 | GA | Yes |
Addresses
Primary practice location
9390 Ford Ave Ste 16
Richmond Hill, GA 31324-6419
Mailing address
3608 S Lafountain St
Kokomo, IN 46902-3809
Phone (765) 455-2191
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. 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.