Active NPI
Amanda A Busho, PHARM.D.
- Pharmacist
- Wilmington, NC
National Provider Identifier
1295061711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20057
- Practice address
- 2130 S 17TH St
Wilmington, NC 28401-7408 - Phone
- (910) 343-2988
- Fax
- (910) 343-2950
- NPI assigned
- Oct 19, 2009
- 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 | 20057 | NC | Primary |
Addresses
Primary practice location
2130 S 17TH St
Wilmington, NC 28401-7408
Mailing address
2130 S 17TH St
Wilmington, NC 28401-7408
Phone (910) 343-2988
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 |
|---|---|---|---|
| 20057 | NC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1295061711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017408",
"telephone_number": "910-343-2988",
"fax_number": "910-343-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017408",
"telephone_number": "910-343-2988",
"fax_number": "910-343-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHO",
"first_name": "AMANDA",
"middle_name": "A",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.