Active NPI
Amy Paul
- Pharmacist
- Anchorage, AK
National Provider Identifier
1669842241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114537
- Practice address
- 3300 Providence Dr
Ste B314
Anchorage, AK 99508-4690 - Phone
- (907) 212-3420
- NPI assigned
- Sep 25, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 122561 | MN | |
| Pharmacist | 183500000X | 114537 | AK | Primary |
| Pharmacist | 183500000X | PHA.0021162 | CO |
Addresses
Primary practice location
3300 Providence Dr
Ste B314
Anchorage, AK 99508-4690
Mailing address
3300 Providence Dr
Ste B314
Anchorage, AK 99508-4690
Phone (907) 212-3420
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 |
|---|---|---|---|
| 114537 | AK | MD | Pharmacist |
| PHA.0021162 | CO | MD | Pharmacist |
| 122561 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | 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 and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1669842241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 PROVIDENCE DR",
"address_2": "STE B314",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084690",
"telephone_number": "907-212-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 PROVIDENCE DR",
"address_2": "STE B314",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084690",
"telephone_number": "907-212-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122561",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "114537",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0021162",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.