Active NPI
Amanda J Crowe, RPH
- Pharmacist
- Lawrenceville, GA
National Provider Identifier
1780966259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019352
- Practice address
- 1556 Lawrenceville Hwy
Walgreens Pharmacy
Lawrenceville, GA 30044 - Phone
- (770) 962-4946
- NPI assigned
- Sep 12, 2011
- Last updated
- Sep 12, 2011
- 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 | 019352 | GA | Primary |
| Pharmacist | 183500000X | PS27029 | FL |
Addresses
Primary practice location
1556 Lawrenceville Hwy
Walgreens Pharmacy
Lawrenceville, GA 30044
Mailing address
1556 Lawrenceville Hwy
Walgreens Pharmacy
Lawrenceville, GA 30044
Phone (770) 962-4946
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS27029 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1780966259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1556 LAWRENCEVILLE HWY",
"address_2": "WALGREENS PHARMACY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30044",
"telephone_number": "770-962-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1556 LAWRENCEVILLE HWY",
"address_2": "WALGREENS PHARMACY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30044",
"telephone_number": "770-962-4946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "019352",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS27029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.