Amanda Dawn Harmon, PHARM D
Individual provider Active NPI Pharmacist · Ivel, KY
NPI 1477833200 · NPPES record last updated Jun 20, 2013
Key facts
- NPI
- 1477833200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 015558 (KY)
- Practice address
- 160 Conn Street
Suite 2
Ivel, KY 41642-1804 - Phone
- (606) 478-3784
- Fax
- (606) 478-3788
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015558 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Kentucky Drug Inc. | Past | Accepting new patients | |
| East Kentucky Drug Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015558 | KY | Yes |
Addresses
Primary practice location
160 Conn Street
Suite 2
Ivel, KY 41642-1804
Mailing address
160 Conn Street
Suite 2
Ivel, KY 41642-1804
Phone (606) 478-3784
Other providers in Ivel, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.