Amy Marie Irsik, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

0000083 Issued in CO

Practice address

4651 W 121St Ave
Broomfield, CO 80020-5662

Phone

(303) 217-9381

Fax

(720) 887-8438

NPI assigned

Feb 5, 2021

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Marie Irsik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1730771304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 RUTH DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802293672",
            "telephone_number": "303-902-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 W 121ST AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205662",
            "telephone_number": "303-217-9381",
            "fax_number": "720-887-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRSIK",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "CO",
            "license": "0000083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "IRSIK",
            "middle_name": "MARIE",
            "credential": "CPHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Intermountain Medical Group Denver, LLC (Quail Creek Clinic)
• Intermountain Medical Group Denver, LLC
• Internal Locus LLC
• Intraoperative Neurologics, LLC
• Intuitive Art Play Trauma Therapy Colorado, LLC (Jessica Kuchinski, LPC, ATR)
• Emily Iskiyan, PT, DPT
• Irene Isotton
• Dominic S Italia, DDS
• J & M Inc (Always Best Care Senior Services)
• J Michael King MD PC (Peak ENT and Voice Center)

• Pharmacy Technician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Pharmacy Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.