Active NPI
Amanda Khoury
- Pharmacist
- Ponte Vedra Beach, FL
National Provider Identifier
1013351238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49359
- Practice address
- 860 A1A N
Ponte Vedra Beach, FL 32082-3212 - Phone
- (904) 543-0762
- Fax
- (904) 280-9852
- NPI assigned
- Apr 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS49359 | FL | Primary |
Addresses
Primary practice location
860 A1A N
Ponte Vedra Beach, FL 32082-3212
Mailing address
860 A1A N
Ponte Vedra Beach, FL 32082-3212
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS49359 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1013351238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 A1A N",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320823212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 A1A N",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320823212",
"telephone_number": "904-543-0762",
"fax_number": "904-280-9852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.