Active NPI
Amy Ellen Green, CPHT-ADV
- Pharmacy Technician
- Indianapolis, IN
National Provider Identifier
1649075839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 67010078A
- Practice address
- 8405 Southeastern Ave
Indianapolis, IN 46239-1348 - Phone
- (317) 862-2414
- NPI assigned
- Feb 13, 2025
- Last updated
- Feb 13, 2025
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 67010078A | IN | Primary |
Addresses
Primary practice location
8405 Southeastern Ave
Indianapolis, IN 46239-1348
Mailing address
3444 S Sadlier Dr
Indianapolis, IN 46239-1222
Phone (317) 667-3649
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 |
|---|---|---|---|
| 67010078A | IN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1649075839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 S SADLIER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462391222",
"telephone_number": "317-667-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 SOUTHEASTERN AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462391348",
"telephone_number": "317-862-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "AMY",
"middle_name": "ELLEN",
"credential": "CPHT-ADV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IN",
"license": "67010078A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.