Individual provider Active NPI

Amanda Dudics, R.PH.

  • Pharmacist
  • Huber Heights, OH
National Provider Identifier
1811264617
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH.03331147-3 Issued in OH
Practice address
7415 Old Troy Pike
Huber Heights, OH 45424-2662
Phone
(937) 723-2880
NPI assigned
Nov 22, 2011
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03331147 OH
Pharmacist 183500000X RPH.03331147-3 OH Primary

Addresses

Primary practice location

7415 Old Troy Pike
Huber Heights, OH 45424-2662

Mailing address

1297 Beech TRL
Dayton, OH 45458-4768
Phone (419) 348-9874

Other practice location 1

1915 Central Ave
Middletown, OH 45044-4401
Phone (513) 420-2546

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
03331147OHMDPharmacist
RPH.03331147-3OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarks RX LLC CurrentSince Nov 21, 2021 Accepting new patients
Rite Aid of Ohio Inc Past Accepting new patients

Locations

7415 Troy Pike
Huber Heights, OH 45424
Phone (937) 723-2880

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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1811264617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 BEECH TRL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454584768",
            "telephone_number": "419-348-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242662",
            "telephone_number": "937-723-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450444401",
            "country_code": "US",
            "telephone_number": "513-420-2546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDICS",
        "first_name": "AMANDA",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331147",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH.03331147-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.