Individual provider Active NPI

Amanda Lynn Ransom, RPH.

  • Pharmacist
  • Farwell, MI
National Provider Identifier
1831413046
Registry record updated Mar 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302032430 Issued in MI
Practice address
109 W Main St
Farwell, MI 48622-9553
Phone
(989) 588-2900
Fax
(989) 588-2901
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302032430 MI Primary

Addresses

Primary practice location

109 W Main St
Farwell, MI 48622-9553

Mailing address

109 W Main St
P.O. Box 895
Farwell, MI 48622-9553
Phone (989) 588-2900

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
5302032430MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Pharmacy of Farwell PC PastSince Feb 8, 2023 Accepting new patients
Eagle Pharmacy of Farwell PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299888000000",
    "number": "1831413046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "address_2": "P.O. BOX 895",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229553",
            "telephone_number": "989-588-2900",
            "fax_number": "989-588-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229553",
            "telephone_number": "989-588-2900",
            "fax_number": "989-588-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSOM",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2011-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farwell, MI

Sources for this page

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

Verify at the official NPI Registry.