Active NPI
Amanda Michelle Kokensparger, PHARMD
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1831523950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP447920
- Practice address
- 600 Forbes Ave
215A Student Union
Pittsburgh, PA 15219 - Phone
- (412) 396-2155
- NPI assigned
- Aug 26, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0008137 | WV | |
| Pharmacist | 183500000X | 03438442 | OH | |
| Pharmacist | 183500000X | RP447920 | PA | Primary |
Addresses
Primary practice location
600 Forbes Ave
215A Student Union
Pittsburgh, PA 15219
Mailing address
600 Forbes Ave
215A Student Union
Pittsburgh, PA 15219
Phone (412) 396-2155
Other practice location 1
930 Division St
Parkersburg, WV 26101-6051
Phone (304) 428-8534
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03438442 | OH | MD | Pharmacist |
| RP447920 | PA | MD | Pharmacist |
| RP0008137 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | 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.
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
-
- Community/Retail Pharmacy
- Parkersburg, WV
- NPI 1952335739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1831523950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 FORBES AVE",
"address_2": "215A STUDENT UNION",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15219",
"telephone_number": "412-396-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 FORBES AVE",
"address_2": "215A STUDENT UNION",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15219",
"telephone_number": "412-396-2155"
}
],
"practiceLocations": [
{
"address_1": "930 Division St",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261016051",
"country_code": "US",
"telephone_number": "304-428-8534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOKENSPARGER",
"first_name": "AMANDA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008137",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03438442",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP447920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.