Active NPI
Amanda Marciano, PHARM.D.
- Pharmacist
- Davenport, FL
National Provider Identifier
1275872319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49119
- Practice address
- 40079 Highway 27
Davenport, FL 33837-7800 - Phone
- (863) 547-3903
- NPI assigned
- Feb 9, 2013
- Last updated
- Feb 9, 2013
- 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 | PS49119 | FL | Primary |
Addresses
Primary practice location
40079 Highway 27
Davenport, FL 33837-7800
Mailing address
1020 Siena Park Blvd W
Unit 104
Celebration, FL 34747-4419
Phone (305) 790-1758
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 |
|---|---|---|---|
| PS49119 | FL | 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": "1360368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360368000000",
"number": "1275872319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SIENA PARK BLVD W",
"address_2": "UNIT 104",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474419",
"telephone_number": "305-790-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40079 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377800",
"telephone_number": "863-547-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCIANO",
"first_name": "AMANDA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-09",
"last_updated": "2013-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.