Active NPI
Amanda Lynne Higgins, PHARMD
- Pharmacist
- Jonesboro, AR
National Provider Identifier
1265047542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14131
- Practice address
- 108 E Highland Dr
Jonesboro, AR 72401-5940 - Phone
- (870) 802-3749
- NPI assigned
- Sep 13, 2020
- Last updated
- Sep 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PD14131 | AR | Primary |
Addresses
Primary practice location
108 E Highland Dr
Jonesboro, AR 72401-5940
Mailing address
723 Valley Dr
Jonesboro, AR 72401-7064
Phone (870) 351-8344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD14131 | Other | AR | PHARMACIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | Other |
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 |
|---|---|---|---|
| PD14131 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599955200000",
"number": "1265047542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 VALLEY DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017064",
"telephone_number": "870-351-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E HIGHLAND DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015940",
"telephone_number": "870-802-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "AMANDA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-13",
"last_updated": "2020-09-13",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PD14131",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"address_1": "108 E Highland Dr",
"city": "Jonesboro",
"state": "AR",
"country_code": "US",
"postal_code": "724015940",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.