Active NPI
Amanda Leigh Allen, RPH
- Pharmacist
- Massena, NY
National Provider Identifier
1821291295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046145
- Practice address
- 300 Main St
Massena, NY 13662-1901 - Phone
- (315) 764-0559
- Fax
- (315) 764-9500
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 17, 2024
- 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 | 046145 | NY | Primary |
Addresses
Primary practice location
300 Main St
Massena, NY 13662-1901
Mailing address
303 Main St.
Massena, NY 13662
Phone (315) 764-0204
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Kinney Drugs #10
- Community/Retail Pharmacy
- Massena, NY
- NPI 1457468639
-
dba Kinney Drugs #153
- Community/Retail Pharmacy
- Brattleboro, VT
- NPI 1407747157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1821291295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MAIN ST.",
"city": "MASSENA",
"state": "NY",
"postal_code": "13662",
"telephone_number": "315-764-0204",
"fax_number": "315-764-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621901",
"telephone_number": "315-764-0559",
"fax_number": "315-764-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.