Active NPI
Amanda Gillispie, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Memphis, TN
National Provider Identifier
1033933452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 42333
- Practice address
- 262 Danny Thomas Place
Dept of Pharmacy
Memphis, TN 38105 - Phone
- (901) 595-8845
- NPI assigned
- Nov 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pharmacist | 1835P0200X | 8151900 | TN | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 42333 | TN | Primary |
Addresses
Primary practice location
262 Danny Thomas Place
Dept of Pharmacy
Memphis, TN 38105
Mailing address
262 Danny Thomas Place
Dept of Pharmacy
Memphis, TN 38105
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 |
|---|---|---|---|
| 42333 | TN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 8151900 | TN | MD | Pediatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1033933452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PLACE",
"address_2": "DEPT OF PHARMACY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PLACE",
"address_2": "DEPT OF PHARMACY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105",
"telephone_number": "901-595-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLISPIE",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pediatrics",
"state": "TN",
"license": "8151900",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TN",
"license": "42333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.