Amber Kay Perkins, PHARMD
Individual provider Active NPI Pharmacist · Elmwood Park, WI
NPI 1619690237 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1619690237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22147-50 (WI)
- Practice address
- 3915 Durand Ave
Elmwood Park, WI 53405-4402 - Phone
- (262) 554-0035
- Fax
- (262) 456-5947
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22147-50 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy, L.L.C. | Past |
Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22147-50 | WI | Yes |
Addresses
Primary practice location
3915 Durand Ave
Elmwood Park, WI 53405-4402
Mailing address
3915 Durand Ave
Elmwood Park, WI 53405-4402
Phone (262) 554-0035
Other providers in Elmwood Park, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.