Active NPI
Amanda Johnson Whitaker
- Pharmacist
- Chesnee, SC
National Provider Identifier
1629326665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7581
- Practice address
- 109 W Manning St
Chesnee, SC 29323-1538 - Phone
- (864) 461-3123
- Fax
- (864) 703-2943
- NPI assigned
- Aug 23, 2012
- Last updated
- Aug 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 7581 | SC | Primary |
Addresses
Primary practice location
109 W Manning St
Chesnee, SC 29323-1538
Mailing address
109 W Manning St
Chesnee, SC 29323-1538
Phone (864) 461-3123
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 |
|---|---|---|---|
| 7581 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1629326665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W MANNING ST",
"city": "CHESNEE",
"state": "SC",
"postal_code": "293231538",
"telephone_number": "864-461-3123",
"fax_number": "864-703-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W MANNING ST",
"city": "CHESNEE",
"state": "SC",
"postal_code": "293231538",
"telephone_number": "864-461-3123",
"fax_number": "864-703-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "AMANDA",
"middle_name": "JOHNSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-23",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "7581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesnee, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.