Am Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Hesperia, CA
NPI 1225528102 · NPPES record last updated Nov 29, 2018
Key facts
- NPI
- 1225528102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AM PHARMACY INC
- Practice address
- 16330 Walnut St Ste 4
Hesperia, CA 92345-3623 - Phone
- (760) 205-2120
- Fax
- (760) 232-6629
- NPI assigned
- May 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Alyssa Tamura
- Title
- Pharmacist
- Phone
- (909) 254-6911
Practitioners 2
-
Lucy Li, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210108000372 | CA | Part B Supplier - Pharmacy | 8022421262 | Practice locations: Hesperia, CA |
National Provider Directory
Locations
16330 Walnut St
Ste 4
Hesperia, CA 92345
Phone (760) 205-2120
16330 Walnut St
#4
Hesperia, CA 92345
Phone (760) 205-2120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
16330 Walnut St Ste 4
Hesperia, CA 92345-3623
Mailing address
16330 Walnut St Ste 4
Hesperia, CA 92345-3623
Phone (760) 232-6628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177701 | Other | PK |
Other names
- AM PHARMACY
Other providers in Hesperia, CA
- Enedina Alvarado
- Salvador Alvarez Flores
- Franco Alvarez
- Richard Alvarez
- Ruby Victoria Alzaga
- Yvonne Amador
- Amazing Grace Hospice Inc
- Amazing Grace Oasis
- Amazing Grace Oasis II
- Amazing Grace Oasis III
All providers in Hesperia, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.