Amy Kathleen Brown, PHARMACIST CLINICIAN

Primary specialty

PharmacistTaxonomy code 183500000X

License

43131 Issued in CA

Practice address

1555 Mesa Verde E Dr Apt 58 I
Costa Mesa, CA 92626-2307

Phone

(601) 813-4955

Fax

(949) 679-1905

NPI assigned

Mar 18, 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

Other names 1

• Amy Brown Sorensen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1497097323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MESA VERDE E DR APT 58 I",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262307",
            "telephone_number": "601-813-4955",
            "fax_number": "949-679-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MESA VERDE E DR APT 58 I",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262307",
            "telephone_number": "601-813-4955",
            "fax_number": "949-679-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "credential": "PHARMACIST CLINICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43131",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "43131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SORENSEN",
            "middle_name": "BROWN",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kenya Broadnax
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• Michelle Lynne Bronkhorst, D.C.
• Amelia Ruth Bronson
• Nicolas Brook
• Anthony Brown, NP
• Blake Brown
• Gerald Brown, MFT
• Giovana Brown
• Jeffrey Hugh Brown, O.D.

• Pharmacist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; 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.