Individual provider Active NPI

Amy L McCarty, RPH

  • Pharmacist
  • Leavenworth, KS
National Provider Identifier
1780108902
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-12648 Issued in KS
Practice address
5000 S 13TH St
Leavenworth, KS 66048-5581
Phone
(913) 727-4860
NPI assigned
Jul 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2011011786 MO
Pharmacist 183500000X 1-12648 KS Primary

Addresses

Primary practice location

5000 S 13TH St
Leavenworth, KS 66048-5581

Mailing address

21549 187TH St
Tonganoxie, KS 66086-4221

Other practice location 1

21549 187th St
Tonganoxie, KS 66086-4221
Phone (913) 953-7096

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-12648KSMDPharmacist
2011011786MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leavenworth VA Cmop 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.

NPI Registry JSON

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780108902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21549 187TH ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660864221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 13TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485581",
            "telephone_number": "913-727-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21549 187th St",
            "address_purpose": "LOCATION",
            "city": "Tonganoxie",
            "state": "KS",
            "postal_code": "660864221",
            "country_code": "US",
            "telephone_number": "913-953-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011011786",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-12648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.