Amy Marie Myers, RPH
Individual provider Active NPI Pharmacist · Pandora, OH
NPI 1205416229 · NPPES record last updated Apr 13, 2021
Key facts
- NPI
- 1205416229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03120444 (OH)
- Practice address
- 112B E Main St
Pandora, OH 45877-8706 - Phone
- (419) 384-3303
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03120444 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03120444 | OH | Yes |
Addresses
Primary practice location
112B E Main St
Pandora, OH 45877-8706
Mailing address
8800 Lugabill Rd
Bluffton, OH 45817-9593
Phone (419) 358-8993
Other providers in Pandora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2021. 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.