Active NPI
Amber Hammock
- Pharmacist
- Prescott Valley, AZ
National Provider Identifier
1154723799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020937
- Practice address
- 3025 N Windsong Dr
Prescott Valley, AZ 86314-2248 - Phone
- (928) 772-1613
- NPI assigned
- Sep 25, 2014
- Last updated
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020937 | AZ | Primary |
Addresses
Primary practice location
3025 N Windsong Dr
Prescott Valley, AZ 86314-2248
Mailing address
3025 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone (480) 528-2271
Other names 1
- Amber Bloom
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
| License | State | Type | Specialty |
|---|---|---|---|
| S020937 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores, L.L.C. | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
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": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1154723799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142248",
"telephone_number": "480-528-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142248",
"telephone_number": "928-772-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOCK",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "BLOOM",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.