Active NPI
Amelia Alexander Prater, PHARM D.
- Pharmacist
- Fulton, KY
National Provider Identifier
1720014384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011981
- Practice address
- 208 Lake St
C/ O Evans Total Care, LLC
Fulton, KY 42041-1544 - Phone
- (270) 472-2984
- NPI assigned
- Jun 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011981 | KY | Primary |
| Pharmacist | 183500000X | 11390 | TN |
Addresses
Primary practice location
208 Lake St
C/ O Evans Total Care, LLC
Fulton, KY 42041-1544
Mailing address
208 Lake St
C/ O Evans Total Care, LLC
Fulton, KY 42041-1544
Phone (270) 472-2984
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011981 | Other | KY | PHARMACIST LICENSE |
| 11390 | Other | TN | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 011981 | KY | MD | Pharmacist |
| 11390 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720014384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LAKE ST",
"address_2": "C/ O EVANS TOTAL CARE, LLC",
"city": "FULTON",
"state": "KY",
"postal_code": "420411544",
"telephone_number": "270-472-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LAKE ST",
"address_2": "C/ O EVANS TOTAL CARE, LLC",
"city": "FULTON",
"state": "KY",
"postal_code": "420411544",
"telephone_number": "270-472-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATER",
"first_name": "AMELIA",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011981",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11390",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "011981",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "11390",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fulton, KY
- Parkway Regional Medical Clinic Inc
- Parkway Regional Medical Clinic Inc
- Parkway Regional Medical Clinic Inc
- Parkway Regional Medical Clinic, Inc
- Pinelake Physician Practice, LLC (Jackson Purchase Primary Care - Fulton Clinic)
- David Stewart Prater Jr., PHARM D.
- Michael Patrick Prather, RPH
- Purchase District Health Dept
- Purchase Radiology Group
- Brandi N Rose, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.