Amanda Lea Phillips, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024207 Issued in AZ

Practice address

286 E 7TH St
Douglas, AZ 85607-2868

Phone

(520) 364-1358

NPI assigned

Nov 6, 2021

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, Registered Pharmacist

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 and National Provider Directory roles.

• German Dobson CVS LLC

  • Pharmacy
  • Queen Creek, AZ
  • NPI 1639053374
  NPD (past)

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1356006100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SPRAY AVE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031147",
            "telephone_number": "619-453-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 E 7TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072868",
            "telephone_number": "520-364-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Amanda.Marquez@CVSHealth.com",
            "affiliation": "N",
            "address_1": "286 E 7th St",
            "city": "Douglas",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856072868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos Edward Orendain, PHARM BS
• Zachary Sean Patterson, M.D.
• Carlos Ernesto Pena, PA
• Kayla Rose Percy, NP
• Bethzaida Perez-Kyles, NP
• Pima Heart Physicians, PC
• Pinal Hispanic Council
• Pinal Hispanic Council
• Claudia Patricia Pleitez Tecun, M.D.
• Tammy Lynn Posey, PNP

• All providers in Douglas, AZ
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.