Active NPI
Amanda Bryan, PHARMD, MBA
- Pharmacist
- Clinton, NC
National Provider Identifier
1073925822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16339
- Practice address
- 307 Beaman St
Clinton, NC 28328-2907 - Phone
- (910) 592-8444
- Fax
- (910) 592-6505
- NPI assigned
- May 28, 2014
- Last updated
- May 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16339 | NC | Primary |
Addresses
Primary practice location
307 Beaman St
Clinton, NC 28328-2907
Mailing address
307 Beaman St
Clinton, NC 28328-2907
Phone (910) 592-8444
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16339 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Pharmacy LLC | Current | Accepting new patients | |
| Clinton Drug Company | Past | Accepting new patients |
Locations
307 Beaman St
Clinton, NC 28328
Phone (910) 592-8444
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.
-
- Community/Retail Pharmacy
- Clinton, NC
- NPI 1447529631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1073925822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282907",
"telephone_number": "910-592-8444",
"fax_number": "910-592-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282907",
"telephone_number": "910-592-8444",
"fax_number": "910-592-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.