Individual provider Active NPI

Amanda Marie Canipe, PHARM D

  • Pharmacist
  • Clendenin, WV
National Provider Identifier
1427317643
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0009678 Issued in WV
Practice address
8699 Elk River Rd N
Clendenin, WV 25045-5001
Phone
(304) 548-6593
Fax
(304) 548-4464
NPI assigned
May 8, 2012
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446015 PA
Pharmacist 183500000X RP0009678 WV Primary

Addresses

Primary practice location

8699 Elk River Rd N
Clendenin, WV 25045-5001

Mailing address

8699 Elk River Rd N
Clendenin, WV 25045-5001
Phone (304) 548-6593

Other practice location 1

521 N Fraley St
Kane, PA 16735-1162
Phone (814) 837-6160

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
RP446015PAMDPharmacist
RP0009678WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past 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, 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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1427317643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8699 ELK RIVER RD N",
            "city": "CLENDENIN",
            "state": "WV",
            "postal_code": "250455001",
            "telephone_number": "304-548-6593",
            "fax_number": "304-548-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8699 ELK RIVER RD N",
            "city": "CLENDENIN",
            "state": "WV",
            "postal_code": "250455001",
            "telephone_number": "304-548-6593",
            "fax_number": "304-548-4464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 N Fraley St",
            "address_purpose": "LOCATION",
            "city": "Kane",
            "state": "PA",
            "postal_code": "167351162",
            "country_code": "US",
            "telephone_number": "814-837-6160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANIPE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446015",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0009678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clendenin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.