Active NPI
Amy Katherine Vickery, PHARM. D.
- Pharmacist
- Spring Hill, TN
National Provider Identifier
1790022846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33191
- Practice address
- 4935 Main St
Spring Hill, TN 37174-2735 - Phone
- (615) 302-4074
- Fax
- (615) 302-4079
- NPI assigned
- Jan 9, 2013
- Last updated
- Jan 9, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33191 | TN | Primary |
Addresses
Primary practice location
4935 Main St
Spring Hill, TN 37174-2735
Mailing address
4935 Main St
Spring Hill, TN 37174-2735
Phone (615) 302-4074
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33191 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Tennessee, 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.
-
dba Publix Pharmacy #2106
- Community/Retail Pharmacy
- Farragut, TN
- NPI 1639042229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1790022846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4935 MAIN ST",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371742735",
"telephone_number": "615-302-4074",
"fax_number": "615-302-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 MAIN ST",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371742735",
"telephone_number": "615-302-4074",
"fax_number": "615-302-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERY",
"first_name": "AMY",
"middle_name": "KATHERINE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, TN
- Morgan Valdez, MASSAGE THERAPIST
- Vanderbilt Maury Radiation Oncology, LLC (Vanderbilt-Ingram Cancer Center at Maury Regional Spring Hill)
- Mackenzie Ellen Vanderbloomen, OTD, OTR/L
- Elli Velker
- Paula Waggoner Vergne
- Hannah Miller Wade
- Titus Wade
- Valerie L Wade, LCSW
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3017)
- Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-3017)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.