Active NPI
Amy S Damon, CPHT
- Pharmacy Technician
- Drexel Hill, PA
National Provider Identifier
1346581873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 560107010198496
- Practice address
- 4602 Woodland Ave
Drexel Hill, PA 19026-4319 - Phone
- (610) 457-4677
- NPI assigned
- Mar 7, 2013
- 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 | 560107010198496 | PA | Primary |
Addresses
Primary practice location
4602 Woodland Ave
Drexel Hill, PA 19026-4319
Mailing address
4602 Woodland Ave
Drexel Hill, PA 19026-4319
Phone (610) 457-4677
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 |
|---|---|---|---|
| 560107010198496 | PA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1346581873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 WOODLAND AVE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264319",
"telephone_number": "610-457-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 WOODLAND AVE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264319",
"telephone_number": "610-457-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMON",
"first_name": "AMY",
"middle_name": "S",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PA",
"license": "560107010198496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.