Active NPI
Nelli Simonian Amosah, PHARMACIST
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1619279122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20598
- Practice address
- 1327 Meadowlark Dr
Winston Salem, NC 27106-9817 - Phone
- (336) 922-7066
- NPI assigned
- Dec 3, 2010
- Last updated
- Dec 3, 2010
- 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 | 20598 | NC | Primary |
Addresses
Primary practice location
1327 Meadowlark Dr
Winston Salem, NC 27106-9817
Mailing address
125 Holly Hill CT
Winston Salem, NC 27106-6504
Phone (336) 923-5343
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20598 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1619279122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 HOLLY HILL CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271066504",
"telephone_number": "336-923-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 MEADOWLARK DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271069817",
"telephone_number": "336-922-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOSAH",
"first_name": "NELLI",
"middle_name": "SIMONIAN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20598",
"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 Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.