Active NPI
Amanda Kay Black, PHARMD
- Pharmacist
- Albany, GA
National Provider Identifier
1265715551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH0024510
- Practice address
- 2351 Dawson Rd
Albany, GA 31707-2435 - Phone
- (229) 888-6166
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- 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 | RPH0024510 | GA | Primary |
Addresses
Primary practice location
2351 Dawson Rd
Albany, GA 31707-2435
Mailing address
810 Ga Highway 118 E
Smithville, GA 31787-2804
Phone (229) 343-7159
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 |
|---|---|---|---|
| RPH0024510 | GA | 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": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1265715551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 GA HIGHWAY 118 E",
"city": "SMITHVILLE",
"state": "GA",
"postal_code": "317872804",
"telephone_number": "229-343-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 DAWSON RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072435",
"telephone_number": "229-888-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "AMANDA",
"middle_name": "KAY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH0024510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.