Active NPI
Amanda Nanney, PHARMD
- Pharmacist
- Highland, IL
National Provider Identifier
1003199647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051292183
- Practice address
- 25 Woodland CT
Highland, IL 62249-5917 - Phone
- (618) 654-7125
- NPI assigned
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051292183 | IL | Primary |
Addresses
Primary practice location
25 Woodland CT
Highland, IL 62249-5917
Mailing address
110 Walnut St
Highland, IL 62249-1222
Phone (618) 651-1204
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051292183 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1003199647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WALNUT ST",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622491222",
"telephone_number": "618-651-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WOODLAND CT",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622495917",
"telephone_number": "618-654-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANNEY",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.