Individual provider Active NPI

Amanda Bajayo, PHARMD

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1467057331
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS51964 Issued in FL
Practice address
5886 Conroy Rd
Orlando, FL 32835-3528
Phone
(407) 299-8020
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS51964 FL Primary

Addresses

Primary practice location

5886 Conroy Rd
Orlando, FL 32835-3528

Mailing address

5886 Conroy Rd
Orlando, FL 32835-3528

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Amanda8396@ufl.edu
Other URL Amanda8396@ufl.edu

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
PS51964FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS L.L.C. PastSince Dec 6, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1467057331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 CONROY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 CONROY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353528",
            "telephone_number": "407-299-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAYO",
        "first_name": "AMANDA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS51964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Amanda8396@ufl.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "5886 Conroy Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328353528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Amanda8396@ufl.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "5886 Conroy Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328353528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.