Active NPI
Amy L Fessler, PHARMD
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1790760528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03326883
- Practice address
- 220 Virginia Ave
Indianapolis, IN 46204-3632 - Phone
- (317) 488-6000
- NPI assigned
- Dec 14, 2005
- Last updated
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-3-26883 | OH | |
| Pharmacist | 183500000X | 03326883 | OH | Primary |
Addresses
Primary practice location
220 Virginia Ave
Indianapolis, IN 46204-3632
Mailing address
545 Boone Dr
Troy, OH 45373-9308
Phone (937) 657-3768
Other practice location 1
2601 S Smithville Rd
Dayton, OH 45420-2641
Phone (937) 253-3166
Other practice location 2
324 4th Ave
Sidney, OH 45365-1102
Phone (937) 492-0700
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 |
|---|---|---|---|
| 03326883 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores LLC | Past | Accepting new patients | |
| Mr Prescription Inc | Past | Accepting new patients | |
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1790760528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 BOONE DR",
"city": "TROY",
"state": "OH",
"postal_code": "453739308",
"telephone_number": "937-657-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 VIRGINIA AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462043632",
"telephone_number": "317-488-6000"
}
],
"practiceLocations": [
{
"address_1": "2601 S Smithville Rd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454202641",
"country_code": "US",
"telephone_number": "937-253-3166",
"fax_number": "937-253-3165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "324 4th Ave",
"address_purpose": "LOCATION",
"city": "Sidney",
"state": "OH",
"postal_code": "453651102",
"country_code": "US",
"telephone_number": "937-492-0700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FESSLER",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2024-04-19",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-26883",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03326883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.