Active NPI
Amy Van Gorp, PHARM.D.
- Pharmacotherapy Pharmacist
- Orange City, IA
National Provider Identifier
1922314160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 20572
- Practice address
- 1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1836 - Phone
- (712) 737-2000
- NPI assigned
- Aug 25, 2010
- Last updated
- Sep 6, 2016
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 20572 | IA | Primary |
Addresses
Primary practice location
1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1836
Mailing address
1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1836
Phone (712) 737-2000
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 |
|---|---|---|---|
| 20572 | IA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1922314160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LINCOLN CIR SE",
"address_2": "SUITE 100",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411836",
"telephone_number": "712-737-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LINCOLN CIR SE",
"address_2": "SUITE 100",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411836",
"telephone_number": "712-737-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN GORP",
"first_name": "AMY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IA",
"license": "20572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.