Amanda Nethery Smith, PHARMD
Individual provider Active NPI Pharmacist · Loranger, LA
NPI 1740063296 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1740063296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PST.024911 (LA)
- Practice address
- 54033 Highway 1062
Loranger, LA 70446-3538 - Phone
- (985) 878-6622
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.024911 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PF Spam LLC | Past | Accepting new patients | |
| PF Spam LLC | Past |
Accepting new patients | |
| PF Spam LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.024911 | LA | Yes |
Addresses
Primary practice location
54033 Highway 1062
Loranger, LA 70446-3538
Mailing address
PO Box 850
Independence, LA 70443-0850
Phone (985) 878-4401
Other practice location 1
18150 Highway 190 E
Hammond, LA 70401-3400
Phone (985) 345-7122
Other practice location 2
345 W Railroad Ave
Independence, LA 70443-2292
Phone (985) 878-4401
Other providers in Loranger, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 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.