Individual provider Active NPI

Amy L Fessler, PHARMD

  • Pharmacist
  • Indianapolis, IN
National Provider Identifier
1790760528
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03326883 Issued in OH
Practice address
220 Virginia Ave
Indianapolis, IN 46204-3632
Phone
(317) 488-6000
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
03326883OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio CVS Stores, L.L.C. PastSince Mar 1, 2021 Accepting new patients
Mr Prescription Inc Past Accepting new patients
Ohio CVS Stores LLC PastSince Mar 1, 2021 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.