Active NPI
Amanda Hoersten, PHARMD
- Pharmacist
- Nellis Afb, NV
National Provider Identifier
1528490034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03232692-2
- Practice address
- 4700 Las Vegas Blvd N
Building 1300
Nellis Afb, NV 89191-6600 - Phone
- (702) 653-5359
- NPI assigned
- Aug 7, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03232692-2 | OH | Primary |
| Pharmacist | 183500000X | 18759 | NV |
Addresses
Primary practice location
4700 Las Vegas Blvd N
Building 1300
Nellis Afb, NV 89191-6600
Mailing address
1350 Kelso Dunes Ave Apt 1522
Henderson, NV 89014-7869
Phone (567) 712-9463
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 |
|---|---|---|---|
| 18759 | NV | MD | Pharmacist |
| 03232692-2 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1528490034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 KELSO DUNES AVE APT 1522",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147869",
"telephone_number": "567-712-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 LAS VEGAS BLVD N",
"address_2": "BUILDING 1300",
"city": "NELLIS AFB",
"state": "NV",
"postal_code": "891916600",
"telephone_number": "702-653-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERSTEN",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03232692-2",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nellis Afb, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.