Individual provider Active NPI

Amy Junkin, RPH

  • Pharmacist
  • Bloomfield Hills, MI
National Provider Identifier
1720373558
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302028860 Issued in MI
Practice address
2400 S Telegraph Rd
T-2178
Bloomfield Hills, MI 48302-0255
Phone
(248) 409-1952
Fax
(248) 409-1962
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302028860 MI Primary

Addresses

Primary practice location

2400 S Telegraph Rd
T-2178
Bloomfield Hills, MI 48302-0255

Mailing address

2400 S Telegraph Rd
T-2178
Bloomfield Hills, MI 48302-0255
Phone (248) 409-1952

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302028860MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1720373558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S TELEGRAPH RD",
            "address_2": "T-2178",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020255",
            "telephone_number": "248-409-1952",
            "fax_number": "248-409-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S TELEGRAPH RD",
            "address_2": "T-2178",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020255",
            "telephone_number": "248-409-1952",
            "fax_number": "248-409-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKIN",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.