Individual provider Active NPI

Amanda McCall, PHARMD

  • Pharmacist
  • Ooltewah, TN
National Provider Identifier
1457744252
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
34198 Issued in TN
Practice address
6043 Relocation Way
Ooltewah, TN 37363-6274
Phone
(423) 238-5594
Fax
(423) 238-4119
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21653 AL
Pharmacist 183500000X RPH025499 GA
Pharmacist 183500000X 34198 TN Primary

Addresses

Primary practice location

6043 Relocation Way
Ooltewah, TN 37363-6274

Mailing address

6043 Relocation Way
Ooltewah, TN 37363-6274
Phone (423) 238-5594

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
RPH025499GAMDPharmacist
21653ALMDInternal Medicine Physician
34198TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K-VA-T Food Stores Inc CurrentSince Nov 9, 2021 Accepting new patients
K VA T Food Stores Inc Past Accepting new patients
K VA T Food Stores Inc PastSince Dec 27, 2020 Accepting new patients

Locations

6043 Relocation Way
Ooltewah, TN 37363
Phone (423) 238-5594

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1457744252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 RELOCATION WAY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636274",
            "telephone_number": "423-238-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 RELOCATION WAY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636274",
            "telephone_number": "423-238-5594",
            "fax_number": "423-238-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "AMANDA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "21653",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025499",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "34198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.