Individual provider Active NPI

Amanda Lea Kimberly Guinn

  • Pharmacist
  • Eastaboga, AL
National Provider Identifier
1548854797
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15434 Issued in AL
Practice address
1926 Bynum Blvd
Eastaboga, AL 36260-5431
Phone
(256) 237-7533
Fax
(256) 237-7537
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15434 AL Primary

Addresses

Primary practice location

1926 Bynum Blvd
Eastaboga, AL 36260-5431

Mailing address

7101 Lake Run Cir
Vestavia, AL 35242-7500
Phone (205) 552-2784

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

LicenseStateTypeSpecialty
15434ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bynum Drug Inc CurrentSince Mar 4, 2021 Accepting new patients

Locations

8749 AL Highway 202
Eastaboga, AL 36260
Phone (256) 237-7533

Organizations & group practices 1

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1548854797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 LAKE RUN CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427500",
            "telephone_number": "205-552-2784",
            "fax_number": "256-237-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 BYNUM BLVD",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "362605431",
            "telephone_number": "256-237-7533",
            "fax_number": "256-237-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINN",
        "first_name": "AMANDA",
        "middle_name": "LEA KIMBERLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastaboga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.