Individual provider Active NPI

Amanda Leigh Patsfield, PHARMD

  • Pharmacist
  • Charlestown, IN
National Provider Identifier
1245710318
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
013704 Issued in KY
Practice address
1250 Patrol Rd Ste 100
Charlestown, IN 47111-8670
Phone
(812) 850-7207
Fax
(812) 256-7339
NPI assigned
Aug 18, 2018
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 013704 KY Primary

Addresses

Primary practice location

1250 Patrol Rd Ste 100
Charlestown, IN 47111-8670

Mailing address

2606 Greenup Rd
Louisville, KY 40217-2048
Phone (502) 767-3721

Other practice location 1

2815 Watterson Trl
Louisville, KY 40299-3868
Phone (833) 834-4637

Other identifiers 2

IdentifierTypeStateIssuer
013704OtherKYREGISTERED PHARMACIST
26028059AOtherINREGISTERED PHARMACIST

Other names 1

  • Dr. Amanda Leigh Patsfield Former name

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

LicenseStateTypeSpecialty
013704KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1245710318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 GREENUP RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402172048",
            "telephone_number": "502-767-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PATROL RD STE 100",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118670",
            "telephone_number": "812-850-7207",
            "fax_number": "812-256-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2815 Watterson Trl",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402993868",
            "country_code": "US",
            "telephone_number": "833-834-4637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATSFIELD",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "013704",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "26028059A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PATSFIELD",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.