Individual provider Active NPI

Amy Henz, PHARMD

  • Ambulatory Care Pharmacist
  • Springboro, OH
National Provider Identifier
1245712728
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
03438806 Issued in OH
Practice address
825 N Main St
Springboro, OH 45066-2100
Phone
(937) 762-5000
NPI assigned
Aug 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 03438806 OH Primary

Addresses

Primary practice location

825 N Main St
Springboro, OH 45066-2100

Mailing address

1827 Woodman Center Dr
Dayton, OH 45420-1157

Other practice location 1

7700 Washington Village Dr Ste 260
Washington Township, OH 45459-4097
Phone (937) 435-9013

Other names 1

  • Amy Wiles 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
03438806OHMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Jan 15, 2023 Accepting new patients

Locations

1827 Woodman Center Dr
Kettering, OH 45420
Phone (937) 558-3223

10050 Innovation Dr
Ste 200
Miamisburg, OH 45342
Phone (937) 558-3208

825 N Main St
Springboro, OH 45066
Phone (937) 762-5000

7700 Washington Village Dr
Ste 260
Washington Township, OH 45459
Phone (937) 435-9013

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1245712728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 WOODMAN CENTER DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662100",
            "telephone_number": "937-762-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Washington Village Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Washington Township",
            "state": "OH",
            "postal_code": "454594097",
            "country_code": "US",
            "telephone_number": "937-435-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENZ",
        "first_name": "AMY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OH",
            "license": "03438806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WILES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.