Amanda Marie Timbol Mayer, PHARMD

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHA-PHA-LIC-26406 Issued in MT

Practice address

435 S Crystal St Ste 230
Butte, MT 59701-1523

Phone

(406) 723-2461

NPI assigned

Oct 21, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1376260265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 HOWARD ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST STE 230",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011523",
            "telephone_number": "406-723-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "AMANDA MARIE",
        "middle_name": "TIMBOL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MT",
            "license": "PHA-PHA-LIC-26406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amanda.mayer@imail.org",
            "affiliation": "N",
            "endpointDescription": "Work E-mail",
            "address_1": "435 S Crystal St Ste 230",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597011523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tori Nicole Matteson, CPHT
• Audrey J Mattson, PH.D.
• Kristie Matule
• Michael Anthony Mavros, A.T.,C.
• Alan R Mayer, M.D.
• Christine Mayer, ATC
• Tiffany Noel Mayson, LMT
• Jacqueline J. McAdam
• Sandra McAdams, LCPC
• Taylor McArthur, RPH

• All providers in Butte, MT
• Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.