Active NPI
Amber Leann Wheeler, CPHT
- Pharmacy Technician
- Paradise, CA
National Provider Identifier
1336349281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 73171
- Practice address
- 6240 Clark Rd
Ste.B
Paradise, CA 95969-4167 - Phone
- (530) 877-4981
- Fax
- (530) 877-1048
- NPI assigned
- Jul 19, 2007
- Last updated
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 73171 | CA | Primary |
Addresses
Primary practice location
6240 Clark Rd
Ste.B
Paradise, CA 95969-4167
Mailing address
6240 Clark Rd.
Ste.B
Paradise, CA 95969
Phone (530) 877-4981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY455680 | Medicaid | CA |
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 |
|---|---|---|---|
| 73171 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1336349281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 CLARK RD.",
"address_2": "STE.B",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-877-4981",
"fax_number": "530-877-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 CLARK RD",
"address_2": "STE.B",
"city": "PARADISE",
"state": "CA",
"postal_code": "959694167",
"telephone_number": "530-877-4981",
"fax_number": "530-877-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "AMBER",
"middle_name": "LEANN",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "73171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHY455680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.