Individual provider Active NPI

Amber Pemberton

  • Pharmacy Technician
  • Oneida, TN
National Provider Identifier
1194139907
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
47442 Issued in TN
Practice address
279 Underpass Dr
Oneida, TN 37841-5885
Phone
(423) 569-7800
Fax
(423) 569-7801
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

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
47442TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marks Family Pharmacy LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 47442 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

279 Underpass Dr
Oneida, TN 37841-5885

Mailing address

279 Underpass Dr
Oneida, TN 37841-5885
Phone (423) 569-7800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2014.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1194139907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 UNDERPASS DR",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378415885",
            "telephone_number": "423-569-7800",
            "fax_number": "423-569-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 UNDERPASS DR",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378415885",
            "telephone_number": "423-569-7800",
            "fax_number": "423-569-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TN",
            "license": "47442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.