Active NPI
Amy Elise Wortkoetter, PHARMD
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1437838703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43968
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 43968 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Past | 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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
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.