Active NPI
Amands Lynn Clark
- Pharmacy Technician
- Glen Burnie, MD
National Provider Identifier
1417347261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T10866
- Practice address
- 6717 Ritchie Hwy
Glen Burnie, MD 21061-2318 - Phone
- (410) 487-0039
- Fax
- (443) 354-5649
- NPI assigned
- Feb 2, 2015
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T10866 | MD | Primary |
Addresses
Primary practice location
6717 Ritchie Hwy
Glen Burnie, MD 21061-2318
Mailing address
6717 Ritchie Hwy
Glen Burnie, MD 21061-2318
Phone (410) 487-0039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T10866 | MD | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1417347261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6717 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612318",
"telephone_number": "410-487-0039",
"fax_number": "443-354-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6717 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612318",
"telephone_number": "410-487-0039",
"fax_number": "443-354-5649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "AMANDS",
"middle_name": "LYNN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MD",
"license": "T10866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.