Active NPI
Amy L Spellman, R.PH.
- Pharmacist
- Superior, CO
National Provider Identifier
1982039012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0019873
- Practice address
- 1995 E Coalton Rd
#43-204
Superior, CO 80027-4419 - Phone
- (618) 303-6358
- NPI assigned
- Sep 9, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0019873 | CO | Primary |
| Pharmacist | 183500000X | 5302031385 | MI | |
| Pharmacist | 183500000X | 051.286949 | IL |
Addresses
Primary practice location
1995 E Coalton Rd
#43-204
Superior, CO 80027-4419
Mailing address
1995 E Coalton Rd
#43-204
Superior, CO 80027-4419
Phone (618) 303-6358
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 |
|---|---|---|---|
| PHA.0019873 | CO | MD | Pharmacist |
| 051.286949 | IL | MD | Pharmacist |
| 5302031385 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1982039012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 E COALTON RD",
"address_2": "#43-204",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800274419",
"telephone_number": "618-303-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 E COALTON RD",
"address_2": "#43-204",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800274419",
"telephone_number": "618-303-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELLMAN",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0019873",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031385",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.286949",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.