Active NPI
Amanda Eades, PHARMD
- Pharmacist
- Knoxville, TN
National Provider Identifier
1336567577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049211853
- Practice address
- 400 Goodys LN
Knoxville, TN 37922-1900 - Phone
- (865) 304-2579
- NPI assigned
- Apr 4, 2014
- 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 | 049211853 | IL | Primary |
Addresses
Primary practice location
400 Goodys LN
Knoxville, TN 37922-1900
Mailing address
5709 Poston Way
Apt 222
Knoxville, TN 37918-5572
Phone (270) 543-6495
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 |
|---|---|---|---|
| 049211853 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1336567577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 POSTON WAY",
"address_2": "APT 222",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379185572",
"telephone_number": "270-543-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GOODYS LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379221900",
"telephone_number": "865-304-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADES",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "049211853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.