Amanda Martin, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH027939 Issued in GA

Practice address

412 Johnson St SE
Dawson, GA 39842-1523

Phone

(229) 995-2126

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By 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

Practice roles

Locations

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.

• Moseley Drug Company Inc

  dba Moseley Drug Company

  • Pharmacy
  • Dawson, GA
  • NPI 1689610594
  NPD Authorized official

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1629680624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 JOHNSON ST SE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398421523",
            "telephone_number": "229-995-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 JOHNSON ST SE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398421523",
            "telephone_number": "229-995-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Hilsman, M.D.
• Tara Sauls Jackson, PHARM.D.
• Rita Robinson James, NP
• Robert Walker Johnson, DMD
• Hailey Long, OD
• Moseley Drug Company Inc (Moseley Drug Company)
• Dipna Patel
• Shaniqua Powell
• Amanda Parnacott Roufs, PNP
• S & S Personal Care Home, LLC

• Pharmacist in Dawson, GA
• Providers in Dawson, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.