Amanda Whitman, PHARMD, CPH
Individual provider Active NPI Pharmacist · Lutz, FL
NPI 1508400342 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1508400342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS54195 (FL)
- Practice address
- 16011 N Nebraska Ave Ste 103
Lutz, FL 33549-6158 - Phone
- (813) 999-2700
- NPI assigned
- Nov 5, 2019
- 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 |
|---|---|---|---|
| PS54195 | FL | MD | Pharmacist |
| PU8174 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Pharmacy LLC | Past |
Accepting new patients | |
| Absolute Pharmacy, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PU8174 | FL | |
| Pharmacist | 183500000X | PS54195 | FL | Yes |
Addresses
Primary practice location
16011 N Nebraska Ave Ste 103
Lutz, FL 33549-6158
Mailing address
16011 N Nebraska Ave Ste 103
Lutz, FL 33549-6158
Phone (813) 999-2700
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. 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.