Eliza Ammon, RPH
Individual provider Active NPI Pharmacist · Albany, OR
NPI 1962015230 · NPPES record last updated Aug 26, 2020
Key facts
- NPI
- 1962015230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0018003 (OR)
- Practice address
- 1333 Clay St SE
Albany, OR 97322-6868 - Phone
- (541) 924-9598
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0018003 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JRRX LLC | Current |
Accepting new patients | |
| HRX LTD | Past |
Accepting new patients |
Locations
1333 Clay St SE
Albany, OR 97322
Phone (541) 924-9598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0018003 | OR | Yes |
Addresses
Primary practice location
1333 Clay St SE
Albany, OR 97322-6868
Mailing address
3092 Fir Oaks Dr SW
Albany, OR 97321-3552
Phone (408) 480-1494
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.