Active NPI
Amanda Elizabeth Vaughan Perez, PHARMD
- Pharmacist
- Sanford, FL
National Provider Identifier
1184901084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS44302
- Practice address
- 2501 S French Ave
Sanford, FL 32773 - Phone
- (407) 321-0518
- NPI assigned
- Nov 7, 2011
- Last updated
- Sep 5, 2018
- 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 | 0202209780 | VA | |
| Pharmacist | 183500000X | PS44302 | FL | Primary |
Addresses
Primary practice location
2501 S French Ave
Sanford, FL 32773
Mailing address
2501 S French Ave
Sanford, FL 32773-5302
Phone (401) 321-0518
Other practice location 1
897 Saxon Blvd
Orange City, FL 32763-8204
Phone (386) 775-5336
Other names 1
- Amanda Elizabeth Vaughan
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 |
|---|---|---|---|
| PS44302 | FL | MD | Pharmacist |
| 0202209780 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1184901084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 S FRENCH AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735302",
"telephone_number": "401-321-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S FRENCH AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "32773",
"telephone_number": "407-321-0518"
}
],
"practiceLocations": [
{
"address_1": "897 Saxon Blvd",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327638204",
"country_code": "US",
"telephone_number": "386-775-5336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAUGHAN PEREZ",
"first_name": "AMANDA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209780",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "VAUGHAN",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.