Active NPI
Amy Hodorowicz, PHARMD
- Pharmacist
- Raleigh, NC
National Provider Identifier
1265711931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21656
- Practice address
- 3004 Wake Forest Rd
Suite 112
Raleigh, NC 27609-7874 - Phone
- (919) 865-9993
- Fax
- (919) 865-9998
- NPI assigned
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21656 | NC | Primary |
Addresses
Primary practice location
3004 Wake Forest Rd
Suite 112
Raleigh, NC 27609-7874
Mailing address
3004 Wake Forest Rd
Suite 112
Raleigh, NC 27609-7874
Phone (919) 865-9993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920483 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21656 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1265711931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 WAKE FOREST RD",
"address_2": "SUITE 112",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097874",
"telephone_number": "919-865-9993",
"fax_number": "919-865-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 WAKE FOREST RD",
"address_2": "SUITE 112",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097874",
"telephone_number": "919-865-9993",
"fax_number": "919-865-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODOROWICZ",
"first_name": "AMY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0920483",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.