Individual provider Active NPI

Amber Marie McCaughey, PHARMD

  • Pharmacist
  • Eau Claire, WI
National Provider Identifier
1215535976
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15944-040 Issued in WI
Practice address
3915 Gateway Dr
Eau Claire, WI 54701-8166
Phone
(715) 834-5966
Fax
(715) 834-5395
NPI assigned
Oct 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 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 15944-040 WI Primary

Addresses

Primary practice location

3915 Gateway Dr
Eau Claire, WI 54701-8166

Mailing address

W1710 County Road HH
Eau Claire, WI 54701-5228
Phone (608) 658-1353

Other identifiers 1

IdentifierTypeStateIssuer
15944-040OtherWIPHARMACIST LICENSE

Other names 1

  • Dr. Amber Marie Leavitt Former name

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
15944-040WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1215535976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1710 COUNTY ROAD HH",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547015228",
            "telephone_number": "608-658-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GATEWAY DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018166",
            "telephone_number": "715-834-5966",
            "fax_number": "715-834-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAUGHEY",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15944-040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "15944-040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "LEAVITT",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.