Individual provider Active NPI

Amy Guard, PHARMD

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1194320622
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16908 Issued in NC
Practice address
601 S Kings Dr Ste Q
Charlotte, NC 28204-3074
Phone
(704) 333-7435
Fax
(704) 371-6985
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16908 NC Primary

Addresses

Primary practice location

601 S Kings Dr Ste Q
Charlotte, NC 28204-3074

Mailing address

601 S Kings Dr Ste Q
Charlotte, NC 28204-3074
Phone (704) 333-7345

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.guard@cvshealth.com

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16908NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1194320622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S KINGS DR STE Q",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043074",
            "telephone_number": "704-333-7345",
            "fax_number": "704-371-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S KINGS DR STE Q",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043074",
            "telephone_number": "704-333-7435",
            "fax_number": "704-371-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARD",
        "first_name": "AMY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.guard@cvshealth.com",
            "affiliation": "N",
            "address_1": "601 S Kings Dr Ste Q",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.