Active NPI
Amanda Faye Wilson, PHARM.D.
- Pharmacist
- Webb City, MO
National Provider Identifier
1033524822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2015020496
- Practice address
- 101 W Daugherty St
Webb City, MO 64870-1924 - Phone
- (417) 673-4664
- NPI assigned
- Jun 30, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 2015020496 | MO | |
| Pharmacist | 183500000X | PD12755 | AR | |
| Pharmacist | 183500000X | 2015020496 | MO | Primary |
Addresses
Primary practice location
101 W Daugherty St
Webb City, MO 64870-1924
Mailing address
101 W Daugherty St
Webb City, MO 64870-1924
Phone (417) 673-4663
Other practice location 1
1711 Cherokee Ave
Seneca, MO 64865-8681
Phone (417) 776-8701
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 |
|---|---|---|---|
| PD12755 | AR | MD | Pharmacist |
| 2015020496 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D & W Consulting, L.L.C. | Current | Accepting new patients | |
| B. P. & W., Inc. | Diabetes Educator | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Seneca, MO
- NPI 1972383446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1033524822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W DAUGHERTY ST",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "648701924",
"telephone_number": "417-673-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W DAUGHERTY ST",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "648701924",
"telephone_number": "417-673-4664"
}
],
"practiceLocations": [
{
"address_1": "1711 Cherokee Ave",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "MO",
"postal_code": "648658681",
"country_code": "US",
"telephone_number": "417-776-8701",
"fax_number": "417-776-3974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "AMANDA",
"middle_name": "FAYE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MO",
"license": "2015020496",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD12755",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2015020496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webb City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.