Active NPI
Amanda Weller
- Pharmacist
- Oswego, IL
National Provider Identifier
1336596808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.298771
- Practice address
- 3795 Orchard Rd
Oswego, IL 60543-5015 - Phone
- (630) 551-2672
- NPI assigned
- May 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.298771 | IL | Primary |
| Pharmacist | 183500000X | 26026282A | IN |
Addresses
Primary practice location
3795 Orchard Rd
Oswego, IL 60543-5015
Mailing address
3795 Orchard Rd
Oswego, IL 60543-5015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298771 | IL | MD | Pharmacist |
| 26026282A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients | |
| American Drug Stores LLC | 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.
-
- Community/Retail Pharmacy
- Diamond, IL
- NPI 1013786706
-
- Community/Retail Pharmacy
- Oswego, IL
- NPI 1164694022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463270400000",
"number": "1336596808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3795 ORCHARD RD",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605435015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3795 ORCHARD RD",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605435015",
"telephone_number": "630-551-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-15",
"last_updated": "2016-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.298771",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026282A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.