Amanda M Deschepper, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2602559A Issued in IN

Practice address

500 S Liberty Dr
Bloomington, IN 47403-1924

Phone

(812) 349-1392

Fax

(812) 349-1393

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1093352833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3778 S CLAYBRIDGE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018565",
            "telephone_number": "712-574-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S LIBERTY DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474031924",
            "telephone_number": "812-349-1392",
            "fax_number": "812-349-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHEPPER",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "2602559A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Care Action Inc
• Dental Health Assoc of in
• Dental Health Associates of Indiana
• Dental Professionals of Indiana, P.C.
• Dermatology Center of Southern Indiana, P.C.
• Gene Devane, D.P.M.
• Brittany Devine
• Kayla A Devito, MSW, LCSW
• Doreen Dotlich Devitt
• Mary Devitt

• Pharmacist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.