Individual provider Active NPI

Amanda Pradarits, PHARMD

  • Pharmacist
  • Hawkinsville, GA
National Provider Identifier
1518569508
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH027190 Issued in GA
Practice address
342 Industrial Blvd Ste a
Hawkinsville, GA 31036-2103
Phone
(478) 783-1515
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 RPH027190 GA Primary

Addresses

Primary practice location

342 Industrial Blvd Ste a
Hawkinsville, GA 31036-2103

Mailing address

342 Industrial Blvd Ste a
Hawkinsville, GA 31036-2103
Phone (478) 783-1515

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
RPH027190GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Ancillary Services, Inc. PastSince Nov 15, 2020 Accepting new patients
Community Ancillary Services, Inc. PastSince Nov 15, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1518569508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 INDUSTRIAL BLVD STE A",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310362103",
            "telephone_number": "478-783-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 INDUSTRIAL BLVD STE A",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310362103",
            "telephone_number": "478-783-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADARITS",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.