Individual provider Active NPI

Amber N Haag, PHARMD

  • Pharmacist
  • Emporia, KS
National Provider Identifier
1619364205
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-13450 Issued in KS
Practice address
1400 W 12TH Ave
Emporia, KS 66801-2516
Phone
(620) 342-1242
Fax
(620) 342-1243
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-13450 KS Primary

Addresses

Primary practice location

1400 W 12TH Ave
Emporia, KS 66801-2516

Mailing address

1400 W 12TH Ave
Emporia, KS 66801-2516
Phone (620) 342-1242

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
1-13450KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Haag Apothecary, Inc Current Accepting new patients
Community Healthcare Collective Inc PastSince Dec 8, 2024 Accepting new patients

Locations

1400 W 12th Ave
Emporia, KS 66801
Phone (620) 342-1242

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1619364205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012516",
            "telephone_number": "620-342-1242",
            "fax_number": "620-342-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012516",
            "telephone_number": "620-342-1242",
            "fax_number": "620-342-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "AMBER",
        "middle_name": "N",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-13450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.