Active NPI
Amanda C Owens, PHARMD
- Ambulatory Care Pharmacist
- Kokomo, IN
National Provider Identifier
1629708060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 26029337A
- Practice address
- 208 Corwin LN
Kokomo, IN 46902-6612 - Phone
- (765) 776-8920
- Fax
- (765) 453-8600
- NPI assigned
- Jun 16, 2022
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 26029337A | IN | Primary |
Addresses
Primary practice location
208 Corwin LN
Kokomo, IN 46902-6612
Mailing address
5185 Oldfield CT
Carmel, IN 46033-3720
Phone (765) 465-5858
Other practice location 1
118 S Meridian St
Greentown, IN 46936-1401
Phone (765) 776-8920
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 |
|---|---|---|---|
| 26029337A | IN | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1629708060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5185 OLDFIELD CT",
"city": "CARMEL",
"state": "IN",
"postal_code": "460333720",
"telephone_number": "765-465-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CORWIN LN",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469026612",
"telephone_number": "765-776-8920",
"fax_number": "765-453-8600"
}
],
"practiceLocations": [
{
"address_1": "118 S Meridian St",
"address_purpose": "LOCATION",
"city": "Greentown",
"state": "IN",
"postal_code": "469361401",
"country_code": "US",
"telephone_number": "765-776-8920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWENS",
"first_name": "AMANDA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IN",
"license": "26029337A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.