Individual provider Active NPI

Amy Wahl, PHARMACIST

  • Pharmacist
  • Tonasket, WA
National Provider Identifier
1295139640
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00021059 Issued in WA
Practice address
316 S Whitcomb Ave
Tonasket, WA 98855-8824
Phone
(509) 486-9120
Fax
(509) 486-9099
NPI assigned
Oct 14, 2014
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00021059 WA Primary

Addresses

Primary practice location

316 S Whitcomb Ave
Tonasket, WA 98855-8824

Mailing address

PO Box 711
Tonasket, WA 98855-0711
Phone (509) 486-9120

Other practice location 1

1416 Main St
Oroville, WA 98844-9385
Phone (509) 476-4747

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

State licenses

LicenseStateTypeSpecialty
PH00021059WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nocp LLC PastSince Oct 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1295139640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988550711",
            "telephone_number": "509-486-9120",
            "fax_number": "509-486-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S WHITCOMB AVE",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988558824",
            "telephone_number": "509-486-9120",
            "fax_number": "509-486-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Main St",
            "address_purpose": "LOCATION",
            "city": "Oroville",
            "state": "WA",
            "postal_code": "988449385",
            "country_code": "US",
            "telephone_number": "509-476-4747",
            "fax_number": "509-476-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHL",
        "first_name": "AMY",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00021059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonasket, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.