Individual provider Active NPI

Amanda Brown

  • Pharmacy Technician
  • Middletown, DE
National Provider Identifier
1801628433
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
1429597 Issued in DE
Practice address
2470 N Dupont Pkwy
Middletown, DE 19709-9653
Phone
(302) 376-9743
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 1429597 DE Primary

Addresses

Primary practice location

2470 N Dupont Pkwy
Middletown, DE 19709-9653

Mailing address

18 Kerrin Rd
Bear, DE 19701-6340
Phone (302) 290-4011

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

LicenseStateTypeSpecialty
1429597DEMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 18, 2024 Accepting new patients
Walgreen Co PastSince Aug 18, 2024 Accepting new patients

Locations

2470 N DuPont Pkwy
Middletown, DE 19709
Phone (302) 376-9743

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1801628433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KERRIN RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016340",
            "telephone_number": "302-290-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 N DUPONT PKWY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197099653",
            "telephone_number": "302-376-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "DE",
            "license": "1429597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.