Amanda L Dugal, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

05129587 Issued in IL

Practice address

5758 S Maryland Ave
Dcam 1005
Chicago, IL 60637-1426

Phone

(773) 702-3519

Fax

(773) 926-0700

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1053867671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC0010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-3519",
            "fax_number": "773-926-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 S MARYLAND AVE",
            "address_2": "DCAM 1005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371426",
            "telephone_number": "773-702-3519",
            "fax_number": "773-926-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAL",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "05129587",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS PHARMACIST STATE LICENSE",
            "identifier": "1-14895",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL REGISTERED PHARMACIST LICENSE",
            "identifier": "051295287",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Brian Duffy, MD
• Benjamin P Dufour, MD
• Laura E. Dufour, LSW
• Anna Elizabeth Dufresne, RD, LD
• Danielle Michelle Dugain, RBT
• Brian Michael Dugal, M.D.
• Melissa Ann Dugan-Kim, MD
• Brian Joseph Dugan, RDN
• Josephine Dugan, OTR/L
• Kelly Dugan, PHARMD

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.