Active NPI
Amanda Cencula, PHARMD
- Pharmacist
- Florissant, MO
National Provider Identifier
1366047276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019012772
- Practice address
- 696 N Highway 67 St
Florissant, MO 63031-5106 - Phone
- (314) 830-7881
- Fax
- (314) 485-2134
- NPI assigned
- Dec 1, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18144-40 | WI | |
| Pharmacist | 183500000X | 26026244A | IN | |
| Pharmacist | 183500000X | 2019012772 | MO | Primary |
Addresses
Primary practice location
696 N Highway 67 St
Florissant, MO 63031-5106
Mailing address
418 W Argonne Dr
Kirkwood, MO 63122-4134
Phone (317) 529-7553
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 |
|---|---|---|---|
| 26026244A | IN | MD | Pharmacist |
| 2019012772 | MO | MD | Pharmacist |
| 18144-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1366047276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 W ARGONNE DR",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631224134",
"telephone_number": "317-529-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 N HIGHWAY 67 ST",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630315106",
"telephone_number": "314-830-7881",
"fax_number": "314-485-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENCULA",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18144-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026244A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019012772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
- Cathedralrock
- Catholic Comprehensive Services for Children, Child Center-Marygrove
- Patrick Joseph Cavanaugh
- Laura Christine Cavaness, DMD
- Joanna Lynn Cavato, RPH
- Centre Creek LLC
- Certimed Mobile Laboratory Services, LLC
- Elizabeth Grace Cesarz, MOT, OTR/L
- Bailey Chadduck, PHARM. D
- Chambers Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.