Amanda L Eary, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

13793 Issued in OK

Practice address

2030 NW 82ND St
Lawton, OK 73505-2355

Phone

(580) 354-7275

Fax

(580) 354-7285

NPI assigned

Jun 10, 2011

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

Electronic endpoints 1

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1285929802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NW 82ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052355",
            "telephone_number": "580-354-7275",
            "fax_number": "580-354-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NW 82ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052355",
            "telephone_number": "580-354-7275",
            "fax_number": "580-354-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 SE 29th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731106122",
            "country_code": "US",
            "telephone_number": "405-455-4001",
            "fax_number": "405-455-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARY",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amanda.bradshaweary@cvscaremark.com",
            "affiliation": "N",
            "address_1": "2030 NW 82nd St",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735052355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Lawton, OK
• Providers in Lawton, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.