Amanda Marie Canipe, PHARM D

Individual provider Active NPI Pharmacist · Clendenin, WV

NPI 1427317643 · NPPES record last updated Dec 19, 2022

Key facts

NPI
1427317643
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP0009678 (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
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
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

Specialties & licenses

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

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

Other providers in Clendenin, WV

All providers in Clendenin, WV · Pharmacist in West Virginia

Sources for this page

Verify at the official NPI Registry.