Active NPI
Amanda Brooke Caldwell, PHARMD
- Pharmacist
- Montgomery, AL
National Provider Identifier
1407994908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15274
- Practice address
- 2055 Coliseum Blvd
Montgomery, AL 36110 - Phone
- (334) 271-6457
- Fax
- (334) 271-6944
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15274 | AL | Primary |
Addresses
Primary practice location
2055 Coliseum Blvd
Montgomery, AL 36110
Mailing address
1100 Stonegate Drive
Lot # 150
Auburn, AL 36832
Phone (334) 821-3549
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 |
|---|---|---|---|
| 15274 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407994908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 STONEGATE DRIVE",
"address_2": "LOT # 150",
"city": "AUBURN",
"state": "AL",
"postal_code": "36832",
"telephone_number": "334-821-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 COLISEUM BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36110",
"telephone_number": "334-271-6457",
"fax_number": "334-271-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "AMANDA",
"middle_name": "BROOKE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.