Individual provider Active NPI

Amber Rose Gamble

  • Pharmacy Technician
  • Alpena, MI
National Provider Identifier
1376119628
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5303023960 Issued in MI
Practice address
2140 US Highway 23 S
Alpena, MI 49707-4542
Phone
(989) 354-4630
Fax
(989) 354-0030
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303023960 MI Primary

Addresses

Primary practice location

2140 US Highway 23 S
Alpena, MI 49707-4542

Mailing address

490 Pine Meadow LN Apt 53
Alpena, MI 49707-1382
Phone (727) 485-6888

Other identifiers 1

IdentifierTypeStateIssuer
5303023960OtherMISTATE LICENSE

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

LicenseStateTypeSpecialty
5303023960MIMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Drug Stores Inc PastSince Jun 22, 2021 Accepting new patients
Apex Drug Stores Inc PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1376119628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PINE MEADOW LN APT 53",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071382",
            "telephone_number": "727-485-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074542",
            "telephone_number": "989-354-4630",
            "fax_number": "989-354-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303023960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5303023960",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.