Amanda A Johnson, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0009343 Issued in WV

Practice address

302 Great Teays Blvd
Scott Depot, WV 25560-9349

Phone

(303) 757-8952

NPI assigned

May 10, 2016

Last updated

May 10, 2016By 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

Other names 1

• Mrs. Amanda A Sheppard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1689020596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609349",
            "telephone_number": "303-757-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609349",
            "telephone_number": "303-757-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0009343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SHEPPARD",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marci Joanne Ingram
• Samuel Ingram
• James a Akins MD
• Carrie Lynn Jeffries, CRNP
• Mary Buffington Jenkins, MD
• Giorgi Lee Johnson, OTD, OTR/L
• Jason Daniel Jones, CASE MANAGER
• Thomas Jones
• Holly Michelle Jordan, MSW, LICSW, AADC
• Amie Justice

• Pharmacist in Scott Depot, WV
• Providers in Scott Depot, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.