Individual provider Active NPI

Amanda Kay Scissell, PHARMD

  • Pharmacist
  • North Little Rock, AR
National Provider Identifier
1467069393
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD13433 Issued in AR
Practice address
760 Michaela Dr
North Little Rock, AR 72117-5361
Phone
(501) 992-1006
Fax
(866) 271-6286
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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 PD13433 AR Primary

Addresses

Primary practice location

760 Michaela Dr
North Little Rock, AR 72117-5361

Mailing address

760 Michaela Dr
North Little Rock, AR 72117-5361
Phone (501) 992-1006

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
PD13433ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pharmacy Care LLC PastSince Sep 27, 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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1467069393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MICHAELA DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721175361",
            "telephone_number": "501-992-1006",
            "fax_number": "866-271-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MICHAELA DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721175361",
            "telephone_number": "501-992-1006",
            "fax_number": "866-271-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCISSELL",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.