Active NPI
Amy Tice, PHARMD
- Pharmacist
- Sisters, OR
National Provider Identifier
1306137278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0013212
- Practice address
- 211 E Cascade Ave
Sisters, OR 97759-1140 - Phone
- (541) 549-6221
- NPI assigned
- Apr 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PI-0010431 | OR | |
| Pharmacist | 183500000X | 0013212 | OR | Primary |
Addresses
Primary practice location
211 E Cascade Ave
Sisters, OR 97759-1140
Mailing address
211 E Cascade Ave
Sisters, OR 97759-1140
Phone (541) 549-6221
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 |
|---|---|---|---|
| 0013212 | OR | MD | Pharmacist |
| PI-0010431 | OR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pill Box Drugs Inc | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Corvallis, OR
- NPI 1871690719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1306137278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E CASCADE AVE",
"city": "SISTERS",
"state": "OR",
"postal_code": "977591140",
"telephone_number": "541-549-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E CASCADE AVE",
"city": "SISTERS",
"state": "OR",
"postal_code": "977591140",
"telephone_number": "541-549-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICE",
"first_name": "AMY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "PI-0010431",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0013212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sisters, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.