Active NPI
Amanda Bass Stewart, PHARMD
- Pharmacist
- Beulaville, NC
National Provider Identifier
1053680579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21117
- Practice address
- 115 W Main St
Beulaville, NC 28518-8803 - Phone
- (910) 298-9172
- Fax
- (910) 298-9950
- NPI assigned
- Dec 29, 2011
- Last updated
- Dec 9, 2012
- 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 | 21117 | NC | Primary |
Addresses
Primary practice location
115 W Main St
Beulaville, NC 28518-8803
Mailing address
115 W Main St
Beulaville, NC 28518-8803
Phone (910) 298-9172
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 |
|---|---|---|---|
| 21117 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355011200000",
"number": "1053680579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W MAIN ST",
"city": "BEULAVILLE",
"state": "NC",
"postal_code": "285188803",
"telephone_number": "910-298-9172",
"fax_number": "910-298-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W MAIN ST",
"city": "BEULAVILLE",
"state": "NC",
"postal_code": "285188803",
"telephone_number": "910-298-9172",
"fax_number": "910-298-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "AMANDA",
"middle_name": "BASS",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2012-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beulaville, NC
- Cynthia J Robinson
- Krista Curtis Shaw, LCSW
- Tracey Lynn Simmons-Kornegay, PHARMD
- Rebecca Lee Skillman
- Abigail Reeves Smith, M.S. CCC-SLP
- Leeanne Costin Sutton, LPT
- Lisa Ann Sylvia, OT/L
- Tar Heel Human Services-Mental Health Division, Inc.
- Tar Heel Human Services-Mental Health Division, Inc.
- Tar Heel Human Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.