Individual provider Active NPI

Amy Lynn Ebel, PHARMD.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sisters, OR
National Provider Identifier
1801145479
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
0013189 Issued in OR
Practice address
635 N Arrowleaf TRL
Sisters, OR 97759
Phone
(541) 549-6221
Fax
(541) 549-1110
NPI assigned
Aug 29, 2012
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0013189 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0013189 OR Primary

Addresses

Primary practice location

635 N Arrowleaf TRL
Sisters, OR 97759

Mailing address

635 N Arrowleaf TRL
Sisters, OR 97759-3235
Phone (541) 549-6221

Other names 1

  • Amy Lynn Obersinner Former name

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
RPH-0013189ORMDPharmacist
0013189ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hi School Pharmacy of Oregon Inc Past Accepting new patients
Pill Box Drugs Inc PastSince Sep 28, 2021 Accepting new patients
Hi-School Pharmacy of Oregon Inc Past Accepting new patients
Pill Box Drugs Inc PastSince Sep 28, 2021 Accepting new patients

Organizations & group practices 4

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1801145479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N ARROWLEAF TRL",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977593235",
            "telephone_number": "541-549-6221",
            "fax_number": "541-549-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N ARROWLEAF TRL",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "541-549-6221",
            "fax_number": "541-549-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0013189",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0013189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "OBERSINNER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.