Amanda S Calhoon, PHARMD
Individual provider Active NPI Pharmacist · Kingsport, TN
NPI 1104159433 · NPPES record last updated Sep 18, 2009
Key facts
- NPI
- 1104159433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33217 (TN)
- Practice address
- 1805 E Stone Dr
Kingsport, TN 37660-4605 - Phone
- (423) 246-7291
- NPI assigned
- Sep 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 33217 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&a Apothecary LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33217 | TN | Yes |
Addresses
Primary practice location
1805 E Stone Dr
Kingsport, TN 37660-4605
Mailing address
1805 E Stone Dr
Kingsport, TN 37660-4605
Phone (423) 246-7291
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2009. 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.