Amanda Michele Stahnke, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2010022992 Issued in MO

Practice address

6010 Bond Ave
Centreville, IL 62207-2328

Phone

(618) 337-8153

NPI assigned

Jul 25, 2010

Last updated

Apr 13, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Southern Illinois Healthcare Foundation Inc

  dba SIHF Healthcare

  • Federally Qualified Health Center (FQHC)
  • Waterloo, IL
  • NPI 1821813247
  NPD (past)
• Southern Illinois Healthcare Foundation, Inc.

  dba Adult Care Center

  • Federally Qualified Health Center (FQHC)
  • East Saint Louis, IL
  • NPI 1306902945
  NPD (past)

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1336452978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ESTES PARK DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762090",
            "telephone_number": "314-800-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BOND AVE",
            "city": "CENTREVILLE",
            "state": "IL",
            "postal_code": "622072328",
            "telephone_number": "618-337-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHNKE",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-25",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2010022992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhawna Sharma, M.D
• Southern Illinois Healthcare Foundation Inc (SIHF Healthcare)
• Southern Illinois Healthcare Foundation Inc (Centreville Health Center)
• Southern Illinois Healthcare Foundation, Inc (Touchette Health Center)
• Southern Illinois Healthcare Foundation, Inc. (SIHF Healthcare)
• Birgit Sterzl, DIETICIAN
• Bonnie J Summers, NP
• Heather Surratt, D.D.S.
• Diana L Swanson, MSN, APRN, WHNP-BC
• Jami Szwargulski, RD, LD

• Pharmacist in Centreville, IL
• Providers in Centreville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.