Provider Demographics
NPI:1780929539
Name:KNAPEREK, AMY KIMBERLY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:KIMBERLY
Last Name:KNAPEREK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 S SCALES ST
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-5330
Mailing Address - Country:US
Mailing Address - Phone:336-349-8221
Mailing Address - Fax:336-349-9444
Practice Address - Street 1:726 S SCALES ST
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5330
Practice Address - Country:US
Practice Address - Phone:336-349-8221
Practice Address - Fax:336-349-9444
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPH13782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARPH026880OtherPHARMACIST LICENSE
SCPH13782OtherPHARMACIST LICENSE
NC24743OtherPHARMACIST LICENSE