Amanda Gani, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Knox, KY
NPI 1043736812 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1043736812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 018467 (KY)
- Practice address
- 6289 Clairborne Street
Margetis BLDG
Fort Knox, KY 40121 - Phone
- (502) 624-6292
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018467 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1835P0018X | 018467 | KY | Yes |
Addresses
Primary practice location
6289 Clairborne Street
Margetis BLDG
Fort Knox, KY 40121
Mailing address
289 Ireland Ave
Fort Knox, KY 40121-5111
Phone (502) 624-6292
Other providers in Fort Knox, KY
- Cynthia Spears French
- Willie Parker French
- Bruce Fried
- Charlen Fry
- Isiah Galarza
- John Joseph Gartside
- Kurry Aloysius Gasser
- Robin Rochelle George
- Bailey Giblin
- Erek Rand Gillespie
All providers in Fort Knox, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.