Active NPI
Amanda Little
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1528598125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023285
- Practice address
- 4005 E Chandler Blvd
Phoenix, AZ 85048-8888 - Phone
- (480) 759-4479
- NPI assigned
- Jun 15, 2017
- Last updated
- Nov 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S023285 | AZ | Primary |
Addresses
Primary practice location
4005 E Chandler Blvd
Phoenix, AZ 85048-8888
Mailing address
1060 E Ray Rd
Chandler, AZ 85225-1542
Other practice location 1
12122 N Rancho Vistoso
Oro Valley, AZ 85737
Phone (480) 280-5237
Other practice location 2
1060 E Ray Rd
Chandler, AZ 85225
Phone (480) 855-9922
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023285 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667606400000",
"number": "1528598125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 E RAY RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 E CHANDLER BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488888",
"telephone_number": "480-759-4479"
}
],
"practiceLocations": [
{
"address_1": "12122 N Rancho Vistoso",
"address_purpose": "LOCATION",
"city": "Oro Valley",
"state": "AZ",
"postal_code": "85737",
"country_code": "US",
"telephone_number": "480-280-5237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1060 E Ray Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "85225",
"country_code": "US",
"telephone_number": "480-855-9922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2022-11-05",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.