Active NPI
Amy Young Price, RPH
- Pharmacist
- Texarkana, TX
National Provider Identifier
1952902918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24122
- Practice address
- 3610 Saint Michael Dr
Texarkana, TX 75503-2341 - Phone
- (903) 838-0651
- Fax
- (903) 838-0649
- NPI assigned
- Nov 5, 2020
- Last updated
- Nov 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24122 | TX | Primary |
Addresses
Primary practice location
3610 Saint Michael Dr
Texarkana, TX 75503-2341
Mailing address
3108 Brittney LN
Texarkana, TX 75503-1569
Phone (903) 276-4825
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 |
|---|---|---|---|
| 24122 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams East Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1952902918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 BRITTNEY LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031569",
"telephone_number": "903-276-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 SAINT MICHAEL DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032341",
"telephone_number": "903-838-0651",
"fax_number": "903-838-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "AMY",
"middle_name": "YOUNG",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
- Troy D Potter, MD
- Janet Potts, LCSW
- Tonile Michelle Pounds, FNP
- Darin Samuel Powell, PTA, ATC, LAT
- Precision Surgery Center, LLC.
- Sarah Khrystine Prine, DMD
- Professional Eye Care Associates PA (Fant Eye Care)
- Professional Hearing Services of Texas, LLC
- Professional Hearing Services PLLC
- Psychiatric Services Roger House, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.