Active NPI
Amanda Wentz, PHARM.D.
- Pharmacist
- Sanford, NC
National Provider Identifier
1245616408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25525
- Practice address
- 1131 Spring LN
Sanford, NC 27330-3461 - Phone
- (919) 774-6610
- NPI assigned
- Aug 10, 2015
- Last updated
- Aug 10, 2015
- 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 | 25525 | NC | Primary |
| Pharmacist | 183500000X | RP449959 | PA |
Addresses
Primary practice location
1131 Spring LN
Sanford, NC 27330-3461
Mailing address
1131 Spring LN
Sanford, NC 27330-3461
Phone (919) 774-6610
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 |
|---|---|---|---|
| RP449959 | PA | MD | Pharmacist |
| 25525 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1245616408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 SPRING LN",
"city": "SANFORD",
"state": "NC",
"postal_code": "273303461",
"telephone_number": "919-774-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 SPRING LN",
"city": "SANFORD",
"state": "NC",
"postal_code": "273303461",
"telephone_number": "919-774-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZ",
"first_name": "AMANDA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25525",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449959",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.