Amber Victoria Walks Over Ice, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PHA-PHA-LIC-20988 Issued in MT

Practice address

1 Hospital Road
Crow Agency, MT 59022-0000

Phone

(406) 638-3578

Fax

(406) 638-3326

NPI assigned

Dec 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1417388281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220000",
            "telephone_number": "406-638-3578",
            "fax_number": "406-638-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220000",
            "telephone_number": "406-638-3578",
            "fax_number": "406-638-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKS OVER ICE",
        "first_name": "AMBER",
        "middle_name": "VICTORIA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "20988",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MT",
            "license": "PHA-PHA-LIC-20988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James David Upchurch
• US Health Dept of Health & Human Services (Crow/Northern Cheyenne Hospital)
• James D Vesbach, D.D.S.
• Amanda Vuyk
• William Robert Walker, PA-C
• Desiree Wells
• Diane Marie Wetsit, RN
• Abigail Judith White, PHARMD
• Thomas Carl White, MD
• Jennifer E Whitemanrunshim, RN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Crow Agency, MT
• Providers in Crow Agency, MT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.