Amanda Creel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16504 Issued in AL

Practice address

1270 W Main St
Dothan, AL 36301-1414

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alabama CVS Pharmacy LLC

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1154927002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011414",
            "telephone_number": "334-793-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 W Main St",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363011414",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEL",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Lee Cox, NP
• Kenneth F. Cox, PA-C
• Cozy Care
• James Benjamin Craven Jr., M.D.
• Rashondra Crawford
• Sherry Demonbreun Creel, PA-C
• William Patrick Crenshaw, MD
• Critical Rehab Corporation
• Jeffrey John Crittenden, MD
• Edward Franklin Crockett III

• Pharmacist in Dothan, AL
• Providers in Dothan, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.