Active NPI
Amanda D Stricklen, PHARMD
- Pharmacist
- Booneville, MS
National Provider Identifier
1245834431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E010524
- Practice address
- 301 American Ave
Booneville, MS 38829-1019 - Phone
- (662) 720-1707
- Fax
- (662) 720-1708
- NPI assigned
- Nov 28, 2020
- Last updated
- Nov 28, 2020
- 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 | E010524 | MS | Primary |
Addresses
Primary practice location
301 American Ave
Booneville, MS 38829-1019
Mailing address
301 American Ave
Booneville, MS 38829-1019
Phone (662) 720-1707
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 |
|---|---|---|---|
| E010524 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Mississippi CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606521600000",
"number": "1245834431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 AMERICAN AVE",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388291019",
"telephone_number": "662-720-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 AMERICAN AVE",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388291019",
"telephone_number": "662-720-1707",
"fax_number": "662-720-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLEN",
"first_name": "AMANDA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-28",
"certification_date": "2020-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E010524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Booneville, MS
- Warren Blake Spencer
- Joye Hankins Steen, PH.D.
- Bradley Jeff Stephenson, PT
- Debbie Gann Stolz, LPN
- Mary Dean Stone, R.N.
- Ginger G Tennison, PHARMD
- The Landmark Nursing Center Inc. (The Landmark Nursing & Rehab. Center, Inc.)
- David Scott Therrien, M.D.
- Jacqueline Thomas, LPC
- Michael Steven Thompson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.