Individual provider Active NPI

Amanda Pletcher, PHARMD

  • Pharmacist
  • Marquette, MI
National Provider Identifier
1407980469
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033597 Issued in MI
Practice address
3630 US 41 W
Marquette, MI 49855-9499
Phone
(906) 662-6310
Fax
(906) 662-6365
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302033597 MI Primary

Addresses

Primary practice location

3630 US 41 W
Marquette, MI 49855-9499

Mailing address

154 Pineview Dr
Marquette, MI 49855-8610
Phone (906) 250-4508

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

LicenseStateTypeSpecialty
5302033597MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Meijer Inc PastSince Jun 30, 2024 Accepting new patients
Meijer, Inc. PastSince Jun 30, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1407980469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 PINEVIEW DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558610",
            "telephone_number": "906-250-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 US 41 W",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559499",
            "telephone_number": "906-662-6310",
            "fax_number": "906-662-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLETCHER",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.