Active NPI
Amanda Jean Patel, PHARMD
- Pharmacist
- Brentwood, MO
National Provider Identifier
1689958274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2009020941
- Practice address
- 2401 S Brentwood Blvd
Brentwood, MO 63144-2301 - Phone
- (314) 963-1925
- Fax
- (636) 532-1298
- NPI assigned
- Oct 1, 2011
- Last updated
- Jul 19, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2009020941 | MO | Primary |
Addresses
Primary practice location
2401 S Brentwood Blvd
Brentwood, MO 63144-2301
Mailing address
2401 S Brentwood Blvd
Brentwood, MO 63144-2301
Phone (314) 963-1925
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 |
|---|---|---|---|
| 2009020941 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1689958274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S BRENTWOOD BLVD",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "631442301",
"telephone_number": "314-963-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S BRENTWOOD BLVD",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "631442301",
"telephone_number": "314-963-1925",
"fax_number": "636-532-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMANDA",
"middle_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-01",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2009020941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.