Amanda Shaver
Individual provider Active NPI Pharmacist · Harveys Lake, PA
NPI 1629550348 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1629550348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP450679 (PA)
- Practice address
- 42 Maple St
Harveys Lake, PA 18618-2254 - Phone
- (570) 836-0110
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP450679 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets, Inc. | Past | Accepting new patients | |
| Weis Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP450679 | PA | Yes |
Addresses
Primary practice location
42 Maple St
Harveys Lake, PA 18618-2254
Mailing address
42 Maple St
Harveys Lake, PA 18618-2254
Other providers in Harveys Lake, PA
All providers in Harveys Lake, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.