Amanda Lynn Poole, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17255 Issued in AL

Practice address

1410 McFarland Blvd N
Tuscaloosa, AL 35406-2459

Phone

(205) 345-8208

NPI assigned

Aug 27, 2012

Last updated

Feb 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alcc Retail Pharmacy, LLC

  • Community/Retail Pharmacy
  • Tuscaloosa, AL
  • NPI 1598521106
  NPD Authorized official

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1518215466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WOODLAND HILLS DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052716",
            "telephone_number": "205-540-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062459",
            "telephone_number": "205-345-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Perry Poe, CRNP
• Courtney Poist
• James Edward Poist, M.D.
• Lidianny Polanco, D.O
• Cheryl Brooke Polinsky, O.D.
• Leigh Ann Chandler Poole, NP
• Raymond E Poore Jr., M.D.
• James S Pope, RPH
• Samuel Jeffrey Popkin, PH.D.
• Krista Porteous

• Pharmacist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.