Active NPI
Amanda McCormack, PHARM D.
- Pharmacist
- Memphis, TN
National Provider Identifier
1245719673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42251
- Practice address
- 3171 Directors Row
Memphis, TN 38131 - Phone
- (662) 349-6385
- Fax
- (662) 932-2099
- NPI assigned
- Aug 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42251 | TN | Primary |
Addresses
Primary practice location
3171 Directors Row
Memphis, TN 38131
Mailing address
5185 Getwell Road
Southaven, MS 38671
Phone (662) 349-6385
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 |
|---|---|---|---|
| 42251 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1245719673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5185 GETWELL ROAD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "38671",
"telephone_number": "662-349-6385",
"fax_number": "662-932-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3171 DIRECTORS ROW",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38131",
"telephone_number": "662-349-6385",
"fax_number": "662-932-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "AMANDA",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.