Amanda J Dougan
Individual provider Active NPI Pharmacy Technician · Oneida, TN
NPI 1629844634 · NPPES record last updated Nov 30, 2023
Key facts
- NPI
- 1629844634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 82757 (TN)
- Practice address
- 19600 Alberta St
Oneida, TN 37841-3302 - Phone
- (423) 286-2270
- NPI assigned
- Nov 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 82757 | TN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
19600 Alberta St
Oneida, TN 37841
Phone (423) 286-2270
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 82757 | TN | Yes |
Addresses
Primary practice location
19600 Alberta St
Oneida, TN 37841-3302
Mailing address
214 Braden Hill Dr
Oneida, TN 37841-5946
Phone (239) 738-6462
Other providers in Oneida, TN
- Dannys Drugs Inc
- Tabitha K Day
- Wanda Ann Day
- James Wyatt Denzler
- Discover Health Care of Oneida, PLLC
- Tara Mistell Douglas
- DRS Coffey
- DRS Coffey Internal Medicine LLC
- Irene Duck
- Raelan Duncan
All providers in Oneida, TN · Pharmacy Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 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.