Amber Hammock
Individual provider Active NPI Pharmacist · Prescott Valley, AZ
NPI 1154723799 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1154723799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S020937 (AZ)
- Practice address
- 3025 N Windsong Dr
Prescott Valley, AZ 86314-2248 - Phone
- (928) 772-1613
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020937 | AZ | Yes |
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
- Amber Bloom
Other providers in Prescott Valley, AZ
- Kelley Lynn Haag
- Mark Haag
- Dana Dee Hale
- Michael Lee Ham
- Courtney Justine Hammes
- Hanger Prosthetics & Orthotics West Inc
- Jarred M. Hanley
- Jeffrey Hannibal
- Sarah Anne Hansen
- Anna Hanus
All providers in Prescott Valley, AZ · Pharmacist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2014. 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.