Individual provider Active NPI

Amanda Michelle Cramer, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Corvallis, OR
National Provider Identifier
1154730489
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
RPH-0014198 Issued in OR
Practice address
2300 NW Walnut Blvd
Corvallis, OR 97330-3538
Phone
(541) 768-4550
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0014198 OR
Pharmacotherapy Pharmacist 1835P1200X RPH-0014198 OR Primary

Addresses

Primary practice location

2300 NW Walnut Blvd
Corvallis, OR 97330-3538

Mailing address

344 Mount Union Ave
Philomath, OR 97370-9275
Phone (541) 231-1484

Other practice location 1

344 Mount Union Ave
Philomath, OR 97370-9275
Phone (541) 231-1484

Other identifiers 1

IdentifierTypeStateIssuer
500802020MedicaidOR

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

LicenseStateTypeSpecialty
0014198ORMDPharmacist
RPH-0014198ORMDPharmacotherapy Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1154730489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MOUNT UNION AVE",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709275",
            "telephone_number": "541-231-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NW WALNUT BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303538",
            "telephone_number": "541-768-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Mount Union Ave",
            "address_purpose": "LOCATION",
            "city": "Philomath",
            "state": "OR",
            "postal_code": "973709275",
            "country_code": "US",
            "telephone_number": "541-231-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0014198",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OR",
            "license": "RPH-0014198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500802020",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.