Active NPI
Amanda Jean Fick, PHARMD
- Pharmacist
- Louisville, CO
National Provider Identifier
1629485800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA19154
- Practice address
- 1375 S Boulder Rd
Louisville, CO 80027-2344 - Phone
- (303) 673-1818
- Fax
- (303) 673-1981
- NPI assigned
- Jul 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA19154 | CO | Primary |
| Pharmacist | 183500000X | 1-15571 | KS |
Addresses
Primary practice location
1375 S Boulder Rd
Louisville, CO 80027-2344
Mailing address
12345 W 61St Ave
Arvada, CO 80004-4118
Phone (720) 628-1548
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHA19154 | CO | MD | Pharmacist |
| 1-15571 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | 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 and National Provider Directory roles.
-
dba King Soopers Pharmacy #153
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
dba King Soopers Pharmacy
- Community/Retail Pharmacy
- Louisville, CO
- NPI 1326083098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427500800000",
"number": "1629485800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 W 61ST AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800044118",
"telephone_number": "720-628-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 S BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272344",
"telephone_number": "303-673-1818",
"fax_number": "303-673-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICK",
"first_name": "AMANDA",
"middle_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-19",
"last_updated": "2015-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA19154",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15571",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.