Healthcare Provider Details

I. General information

NPI: 1629324629
Provider Name (Legal Business Name): AMY MARIE HOPP PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 PINECREST AVE
STEVENS POINT WI
54481-4326
US

IV. Provider business mailing address

1500 PINECREST AVE
STEVENS POINT WI
54481-4326
US

V. Phone/Fax

Practice location:
  • Phone: 715-345-7175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16688-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: