Amanda Marie Krebs, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS57964 Issued in FL

Practice address

605 Courtland Blvd
Deltona, FL 32738-8913

Phone

(407) 321-5421

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1255810545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 LODGE TER",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389729",
            "telephone_number": "513-373-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 COURTLAND BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327388913",
            "telephone_number": "407-321-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS57964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "PS57964",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "03337158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Althea King, MA
• Vernique King
• Melody Koback
• Alyssa Hope Kolp, COTA/L
• James M. Kornegay, DDS,MAGD,PA
• Lavanya Krishnan
• Lisa Krupa, MS, LMHC
• Leandra Marie Kunzeman, APRN
• Dianne Kyle, ARNP
• La Familia Home Health Caring

• Pharmacist in Deltona, FL
• Providers in Deltona, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.