Individual provider Active NPI

Amy Valentine Semmons, RPH

  • Pharmacist
  • East Wenatchee, WA
National Provider Identifier
1972804268
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00015091 Issued in WA
Practice address
510 Grant Rd
Pharmacy
East Wenatchee, WA 98802-5425
Phone
(509) 884-0678
Fax
(509) 886-2066
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00015091 WA Primary

Addresses

Primary practice location

510 Grant Rd
Pharmacy
East Wenatchee, WA 98802-5425

Mailing address

510 Grant Rd
Pharmacy
East Wenatchee, WA 98802-5425
Phone (509) 884-0678

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

LicenseStateTypeSpecialty
PH00015091WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1972804268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GRANT RD",
            "address_2": "PHARMACY",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025425",
            "telephone_number": "509-884-0678",
            "fax_number": "509-886-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GRANT RD",
            "address_2": "PHARMACY",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025425",
            "telephone_number": "509-884-0678",
            "fax_number": "509-886-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMONS",
        "first_name": "AMY",
        "middle_name": "VALENTINE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00015091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.