Active NPI
Amanda C Teeters, PHARMD
- Pharmacist
- Bucyrus, OH
National Provider Identifier
1255197679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03124587
- Practice address
- 629 N Sandusky Ave
Medication Management Center
Bucyrus, OH 44820-1821 - Phone
- (419) 563-9835
- NPI assigned
- Feb 23, 2024
- Last updated
- Feb 23, 2024
- 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 | 03124587 | OH | Primary |
Addresses
Primary practice location
629 N Sandusky Ave
Medication Management Center
Bucyrus, OH 44820-1821
Mailing address
629 N Sandusky Ave
Medication Management Center
Bucyrus, OH 44820-1821
Other practice location 1
715 Richland Mall
Suite 202, Medication Mgt Center
Ontario, OH 44906
Phone (567) 307-7919
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 |
|---|---|---|---|
| 03124587 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1255197679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 N SANDUSKY AVE",
"address_2": "MEDICATION MANAGEMENT CENTER",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448201821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 N SANDUSKY AVE",
"address_2": "MEDICATION MANAGEMENT CENTER",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448201821",
"telephone_number": "419-563-9835"
}
],
"practiceLocations": [
{
"address_1": "715 Richland Mall",
"address_2": "Suite 202, Medication Mgt Center",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OH",
"postal_code": "44906",
"country_code": "US",
"telephone_number": "567-307-7919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEETERS",
"first_name": "AMANDA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03124587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bucyrus, OH
- Sonya F Striker
- Jason Suleiman, CNP
- Dianna Lee Sumrall, SWA
- Brittney Taska, LSW
- John Edward Tatro, LISW
- The Kroger Co (Kroger Pharmacy)
- Third Street Community Clinic Inc
- Third Street Community Clinic Inc (Community Counseling & Wellness Centers-Bucyrus)
- Third Street Community Clinic Inc (Bucyrus Health and Wellness Center)
- Third Street Community Clinic, Inc (Community Counseling & Wellness Centers- Bucyrus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.