Active NPI
Amanda Autumn Leick, PHARMD
- Pharmacist
- Glenwood, IA
National Provider Identifier
1427176973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20202
- Practice address
- 409 S Locust St
Glenwood, IA 51534-1826 - Phone
- (712) 527-4006
- Fax
- (712) 527-4113
- NPI assigned
- Mar 26, 2007
- Last updated
- Apr 13, 2026
- 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 | 20202 | IA | Primary |
Addresses
Primary practice location
409 S Locust St
Glenwood, IA 51534-1826
Mailing address
409 S Locust St
Glenwood, IA 51534-1826
Phone (712) 527-4006
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 |
|---|---|---|---|
| 20202 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1427176973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S LOCUST ST",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515341826",
"telephone_number": "712-527-4006",
"fax_number": "712-527-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 S LOCUST ST",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515341826",
"telephone_number": "712-527-4006",
"fax_number": "712-527-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEICK",
"first_name": "AMANDA",
"middle_name": "AUTUMN",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.