Organization Active NPI

Am Pharmacy Inc

Doing business as Am Pharmacy

  • Community/Retail Pharmacy
  • Hesperia, CA
National Provider Identifier
1225528102
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AM PHARMACY INC
Doing business as
Am Pharmacy
Practice address
16330 Walnut St Ste 4
Hesperia, CA 92345-3623
Phone
(760) 205-2120
Fax
(760) 232-6629
NPI assigned
May 16, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Dr. Alyssa Tamura
Title
Pharmacist
Phone
(909) 254-6911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

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 names 1

  • AM PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210108000372 CA Part B Supplier - Pharmacy 8022421262 Practice locations: Hesperia, CA

National Provider Directory

National Provider Directory

Locations

16330 Walnut St
#4
Hesperia, CA 92345
Phone (760) 205-2120

16330 Walnut St
Ste 4
Hesperia, CA 92345
Phone (760) 205-2120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1225528102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16330 WALNUT ST STE 4",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453623",
            "telephone_number": "760-232-6628",
            "fax_number": "760-232-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16330 WALNUT ST STE 4",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453623",
            "telephone_number": "760-205-2120",
            "fax_number": "760-232-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "TAMURA",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "909-254-6911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.