Amanda Gail Bellamy, PHARM D
Individual provider Active NPI Pharmacist · Jacksonville, AR
NPI 1154480622 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154480622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD9787 (AR)
- Practice address
- 1090 Arnold Dr
Jacksonville, AR 72099-4933 - Phone
- (501) 987-8981
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PD9787 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD9787 | AR | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Jacksonville, AR 72099-4933
Mailing address
106 Foxrun CV
Jacksonville, AR 72076-2117
Phone (501) 982-5199
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.