Active NPI
Karen Sue Amidon, RPH
- Oncology Pharmacist
- Mesquite, TX
National Provider Identifier
1164592473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 30813
- Practice address
- 4700 N Galloway Ave
Mesquite, TX 75150-1516 - Phone
- (972) 698-3140
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 30813 | TX | Primary |
Addresses
Primary practice location
4700 N Galloway Ave
Mesquite, TX 75150-1516
Mailing address
430 Trail View LN
Garland, TX 75043-5628
Phone (972) 682-5438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30813 | Other | TX | PHARMACY LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30813 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164592473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 TRAIL VIEW LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435628",
"telephone_number": "972-682-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N GALLOWAY AVE",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751501516",
"telephone_number": "972-698-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIDON",
"first_name": "KAREN",
"middle_name": "SUE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "TX",
"license": "30813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "30813",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
- American Integrated Healthcare PLLC
- American Multispecialty Care PLLC
- American Specialty Diagnostics Inc
- Amerismiles Dental of Mesquite PLLC
- Amicare Home Health Services Inc
- Amigo Pediatrics PLLC
- Niloofar Amirpour
- Amity Home Health Care Services LLC
- An Abundance of Love Enterprises LLC
- Anderson Chiropractic Health and Wellness Mecca
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.