Amanda Adkins, PHARMD
Individual provider Active NPI Pharmacist · Branson West, MO
NPI 1245829324 · NPPES record last updated Jan 13, 2021
Key facts
- NPI
- 1245829324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2008018187 (MO)
- Practice address
- 18565 Business 13
Branson West, MO 65737-9659 - Phone
- (417) 272-8064
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008018187 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2008018187 | MO | Yes |
Addresses
Primary practice location
18565 Business 13
Branson West, MO 65737-9659
Mailing address
18565 Business 13
Branson West, MO 65737-9659
Phone (417) 272-8064
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | lakelandrx1@gmail.com | Direct | Mike Stuart Enterprises Inc |
Other providers in Branson West, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.