Amanda Marie Hydock, PHARM.D., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP451833 Issued in PA

Practice address

200 Resort Plaza Dr
Blairsville, PA 15717-7964

Phone

(724) 459-5938

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 01014

  • Community/Retail Pharmacy
  • Blairsville, PA
  • NPI 1659460392
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1265959688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRIAR LN",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150687138",
            "telephone_number": "724-420-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RESORT PLAZA DR",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177964",
            "telephone_number": "724-459-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDOCK",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric C Heasley, MD
• Zane Abraham Heiple, MS, ATC
• Rosanne M Henigin, R.PH
• Adam Highberger, D.D.S.
• Bruce Conrad Highberger, D.D.S.
• Kristy Leigh Ilgen, DO
• Indiana Pediatric Associates, P C a
• Indiana Regional Medical Center
• Indiana Total Therapy, Inc
• Jaclyn Bridges Jarvie, M.S. CCC-SLP

• Pharmacist in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.