Individual provider Active NPI

Amber Dawn Courtney, CPHT

  • Pharmacy Technician
  • Cynthiana, KY
National Provider Identifier
1124650767
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PT00025465 Issued in KY
Practice address
1210 Ky Highway 36 E Ste G6
Cynthiana, KY 41031-7493
Phone
(859) 234-2777
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PT00025465 KY Primary

Addresses

Primary practice location

1210 Ky Highway 36 E Ste G6
Cynthiana, KY 41031-7493

Mailing address

138 N Walnut St
Cynthiana, KY 41031-1224
Phone (859) 298-4760

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

State licenses

LicenseStateTypeSpecialty
PT00025465KYMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Pharmacy II, LLC CurrentSince Feb 2, 2025 Accepting new patients
Clinic Pharmacy LLC PastSince Feb 16, 2020 Accepting new patients

Locations

1210 KY Highway 36 E
Ste G6
Cynthiana, KY 41031
Phone (859) 234-2777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1124650767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N WALNUT ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311224",
            "telephone_number": "859-298-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE G6",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317493",
            "telephone_number": "859-234-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "KY",
            "license": "PT00025465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.