Amanda Paulson

Primary specialty

PharmacistTaxonomy code 183500000X

License

20572-40 Issued in WI

Practice address

849 Woodward Ave
Chippewa Falls, WI 54729-3362

Phone

(715) 726-8540

NPI assigned

Oct 9, 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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Chippewa Falls, WI
  • NPI 1154336238
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1215535547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 WOODWARD AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 WOODWARD AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293362",
            "telephone_number": "715-726-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "20572-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Therapies, LLC
• Kathryn Ortmann, PA
• Heidi J Ottman, SAC
• Christopher J Pals
• Patients Express LLC
• Steven Q Paulson, MD
• Jennifer Marie Paulus, PHARM D
• Angela M Pedretti, MA LPC
• Summer Ashlyan Pena-Olson
• James Peng, M.D.

• Pharmacist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.