Amanda Sue Bolton, PHARMD

Key facts

NPI

1467924977

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

62190 (TX)

Practice address

3001 Joe Ramsey Blvd E
Greenville, TX 75401-7714

Phone

(903) 455-7200

Fax

(903) 455-7300

NPI assigned

Dec 21, 2018

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.

• Paris Apothecary LTC Long Term Care Pharmacy · Paris, TX · NPI 1376039594
  NPD (past)
• Paris Apothecary, LLC Community/Retail Pharmacy · Paris, TX · NPI 1225176837
  NPD (past)

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

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 20, 2021.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1467924977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 COUNTY ROAD 4410",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754286821",
            "telephone_number": "720-375-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017714",
            "telephone_number": "903-455-7200",
            "fax_number": "903-455-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Greenville, TX · Pharmacist in Texas