Active NPI
Amanda K Deaner, PHARMD
- Pharmacist
- Williamsburg, IA
National Provider Identifier
1154492940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20140
- Practice address
- 517 Court St
Williamsburg, IA 52361 - Phone
- (319) 668-1520
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20140 | IA | Primary |
| Pharmacist | 183500000X | IL |
Addresses
Primary practice location
517 Court St
Williamsburg, IA 52361
Mailing address
1982 78TH St
Blairstown, IA 52209-9529
Phone (319) 454-6214
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20140 | IA | MD | Pharmacist |
| 051.289611 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154492940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1982 78TH ST",
"city": "BLAIRSTOWN",
"state": "IA",
"postal_code": "522099529",
"telephone_number": "319-454-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 COURT ST",
"city": "WILLIAMSBURG",
"state": "IA",
"postal_code": "52361",
"telephone_number": "319-668-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANER",
"first_name": "AMANDA",
"middle_name": "K",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20140",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.