Individual provider Active NPI

Amy Elise Wortkoetter, PHARMD

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1437838703
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43968 Issued in SC
Practice address
312 Jonestown Rd
Winston Salem, NC 27104-4621
Phone
(336) 716-7576
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43968 SC Primary

Addresses

Primary practice location

312 Jonestown Rd
Winston Salem, NC 27104-4621

Mailing address

1638 Spoonbill CT Apt 2307
Winston Salem, NC 27106-9915
Phone (864) 770-5239

Other practice location 1

2265 Lewisville Clemmons Rd
Clemmons, NC 27012-7462
Phone (336) 716-8575

Other practice location 2

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552
Phone (336) 716-9270

Other practice location 3

1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone (336) 716-7435

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

LicenseStateTypeSpecialty
43968SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences PastSince Sep 3, 2025 Accepting new patients

Organizations & group practices 1

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1437838703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 SPOONBILL CT APT 2307",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069915",
            "telephone_number": "864-770-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 JONESTOWN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044621",
            "telephone_number": "336-716-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Lewisville Clemmons Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270127462",
            "country_code": "US",
            "telephone_number": "336-716-8575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1038 Bethania Rural Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Rural Hall",
            "state": "NC",
            "postal_code": "270459552",
            "country_code": "US",
            "telephone_number": "336-716-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1188 Yadkinville Rd",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282037",
            "country_code": "US",
            "telephone_number": "336-716-7435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTKOETTER",
        "first_name": "AMY",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.