Amelia Kane, PHARMD
Individual provider Active NPI Pharmacist · Locust Grove, VA
NPI 1780286807 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1780286807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202213129 (VA)
- Practice address
- 2533 Germanna Hwy
Locust Grove, VA 22508-2130 - Phone
- (540) 317-4508
- Fax
- (540) 317-4502
- NPI assigned
- Nov 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0202213129 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202213129 | VA | Yes |
Addresses
Primary practice location
2533 Germanna Hwy
Locust Grove, VA 22508-2130
Mailing address
6816 Silverbrook Dr
Spotsylvania, VA 22553-1868
Phone (540) 940-5472
Other providers in Locust Grove, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2020. 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.