Active NPI
Amy Dee Wildermuth, RPH
- Pharmacist
- Centerville, OH
National Provider Identifier
1942956271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 030122458
- Practice address
- 1575 Lyons Rd
Centerville, OH 45458-1881 - Phone
- (937) 439-9779
- Fax
- (937) 439-5443
- NPI assigned
- Feb 24, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011515 | KY | |
| Pharmacist | 183500000X | 030122458 | OH | Primary |
Addresses
Primary practice location
1575 Lyons Rd
Centerville, OH 45458-1881
Mailing address
1575 Lyons Rd
Centerville, OH 45458-1881
Phone (937) 439-9779
Other names 1
- Amy Dee Cutter
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dayton | Direct |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011515 | KY | MD | Pharmacist |
| 030122458 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1942956271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 LYONS RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454581881",
"telephone_number": "937-439-9779",
"fax_number": "937-439-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 LYONS RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454581881",
"telephone_number": "937-439-9779",
"fax_number": "937-439-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDERMUTH",
"first_name": "AMY",
"middle_name": "DEE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011515",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "030122458",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dayton",
"affiliation": "N",
"endpointDescription": "Work place",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Dayton",
"address_1": "1575 Lyons Rd",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454581881",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "CUTTER",
"middle_name": "DEE",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.