Active NPI
Amber Boutwell
- Pharmacist
- Luverne, AL
National Provider Identifier
1295347722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20578
- Practice address
- 1402 S Forest Ave
Luverne, AL 36049-7330 - Phone
- (334) 335-6188
- NPI assigned
- Aug 17, 2020
- Last updated
- Aug 17, 2020
- 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 | 20578 | AL | Primary |
Addresses
Primary practice location
1402 S Forest Ave
Luverne, AL 36049-7330
Mailing address
1402 S Forest Ave
Luverne, AL 36049-7330
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20578 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1295347722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S FOREST AVE",
"city": "LUVERNE",
"state": "AL",
"postal_code": "360497330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S FOREST AVE",
"city": "LUVERNE",
"state": "AL",
"postal_code": "360497330",
"telephone_number": "334-335-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTWELL",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luverne, AL
- Aging & Disabled Services, Inc. (Crenshaw County Adult Day Care)
- Alabama Department of Public Health (Crenshaw County Home Care)
- B & B Discount Drugs
- Edward W Billings Jr., D.M.D.
- Ashley Deloney Brooks, CRNP
- Alan Foster Carpenter, R.PH.
- Clemont Carpenter, R.PH.
- Qu Chen
- Honesty Renee Cockrell, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.