Active NPI
Amanda L Wendt
- Pharmacist
- Palmyra, NY
National Provider Identifier
1750820114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061843-1
- Practice address
- 609 E Main St
Palmyra, NY 14522-1148 - Phone
- (315) 597-6695
- Fax
- (315) 597-3583
- NPI assigned
- Feb 18, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 061843-1 | NY | Primary |
Addresses
Primary practice location
609 E Main St
Palmyra, NY 14522-1148
Mailing address
2022 Magog Rd
Macedon, NY 14502-9755
Phone (585) 507-9324
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061843-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmyra Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Palmyra, NY
- NPI 1144668559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1750820114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 MAGOG RD",
"city": "MACEDON",
"state": "NY",
"postal_code": "145029755",
"telephone_number": "585-507-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E MAIN ST",
"city": "PALMYRA",
"state": "NY",
"postal_code": "145221148",
"telephone_number": "315-597-6695",
"fax_number": "315-597-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "AMANDA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-18",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061843-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmyra, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.