Active NPI
Amber J Enterline, PHARMD
- Pharmacist
- Dayotn, OH
National Provider Identifier
1366876138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03132239
- Practice address
- 4100 W 3Rd Street
Attn Pharmacy
Dayotn, OH 45428 - Phone
- (937) 268-6511
- NPI assigned
- Aug 28, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S019517 | AZ | |
| Pharmacist | 183500000X | 03132239 | OH | Primary |
Addresses
Primary practice location
4100 W 3Rd Street
Attn Pharmacy
Dayotn, OH 45428
Mailing address
4100 W 3Rd Street
Attn Pharmacy
Dayotn, OH 45428
Phone (937) 268-6511
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 |
|---|---|---|---|
| S019517 | AZ | MD | Pharmacist |
| 03132239 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1366876138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 W 3RD STREET",
"address_2": "ATTN PHARMACY",
"city": "DAYOTN",
"state": "OH",
"postal_code": "45428",
"telephone_number": "937-268-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W 3RD STREET",
"address_2": "ATTN PHARMACY",
"city": "DAYOTN",
"state": "OH",
"postal_code": "45428",
"telephone_number": "937-268-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTERLINE",
"first_name": "AMBER",
"middle_name": "J",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019517",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03132239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.