Amanda Dawn Priddy, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

6920 Issued in WV

Practice address

101-A Roosevelt Blvd
Rite Aid Pharmacy #00141
Eleanor, WV 25070

Phone

(304) 586-9064

Fax

(304) 586-9687

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1619266822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101-A ROOSEVELT BLVD",
            "address_2": "RITE AID PHARMACY #00141",
            "city": "ELEANOR",
            "state": "WV",
            "postal_code": "25070",
            "telephone_number": "304-586-9064",
            "fax_number": "304-586-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-A ROOSEVELT BLVD",
            "address_2": "RITE AID PHARMACY #00141",
            "city": "ELEANOR",
            "state": "WV",
            "postal_code": "25070",
            "telephone_number": "304-586-9064",
            "fax_number": "304-586-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDDY",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dawn Metz, FNP-BC
• Curtis Brent Pack, DO
• Louise A Papciak
• Kevin Robert Parker, RPH
• Larry Phillips, LPN
• William Dean Rollyson, MD
• Rowen Shae Samms, AT
• Charles Manville Savilla III
• Beverly Stanley
• Amanda Rae Taylor, PHARMD

• Pharmacist in Eleanor, WV
• Providers in Eleanor, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.