Amber M Conrad, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0010133 Issued in WV

Practice address

118 Lafayette Ave
Moundsville, WV 26041-1029

Phone

(304) 845-0390

Fax

(304) 845-0391

NPI assigned

Jun 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber M Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hayes Professional Service LLC

  • Pharmacist
  • Sistersville, WV
  • NPI 1245382647
  NPD (past)
• Norris Pharmacy Inc

  • Community/Retail Pharmacy
  • Pine Grove, WV
  • NPI 1396818423
  NPD (past)
• Pharmacole Inc

  • Pharmacy
  • Sistersville, WV
  • NPI 1104233329
  NPD (past)
• Pharmacole Inc

  • Community/Retail Pharmacy
  • Pine Grove, WV
  • NPI 1447783931
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992225445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411029",
            "telephone_number": "304-845-0390",
            "fax_number": "304-845-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411029",
            "telephone_number": "304-845-0390",
            "fax_number": "304-845-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 State Rt 20",
            "address_purpose": "LOCATION",
            "city": "Pine Grove",
            "state": "WV",
            "postal_code": "26419",
            "country_code": "US",
            "telephone_number": "304-889-3131",
            "fax_number": "304-889-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Diamond St",
            "address_purpose": "LOCATION",
            "city": "Sistersville",
            "state": "WV",
            "postal_code": "261751354",
            "country_code": "US",
            "telephone_number": "304-652-3711",
            "fax_number": "304-652-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0010133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WILSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rosemary Cornish
• Laura L Coss

• Pharmacist in Moundsville, WV
• Providers in Moundsville, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.