Active NPI
Amanda M Houtz, PHARM.D.
- Pharmacist
- West Lawn, PA
National Provider Identifier
1861817538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP447792
- Practice address
- 1112 W Wyomissing Blvd
West Lawn, PA 19609-2259 - Phone
- (610) 775-3409
- NPI assigned
- Mar 4, 2014
- Last updated
- Jun 15, 2020
- 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 | RP447792 | PA | Primary |
Addresses
Primary practice location
1112 W Wyomissing Blvd
West Lawn, PA 19609-2259
Mailing address
1112 W Wyomissing Blvd
West Lawn, PA 19609-2259
Phone (610) 775-3409
Other practice location 1
3311 Penn Ave
West Lawn, PA 19609-1436
Phone (610) 678-1119
Other names 1
- Amanda M Fidler
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 |
|---|---|---|---|
| RP447792 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronco Pharmacy, Inc. | Pharmacist | Past | Accepting new patients |
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacist
- West Lawn, PA
- NPI 1104823533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1861817538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 W WYOMISSING BLVD",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196092259",
"telephone_number": "610-775-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 W WYOMISSING BLVD",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196092259",
"telephone_number": "610-775-3409"
}
],
"practiceLocations": [
{
"address_1": "3311 Penn Ave",
"address_purpose": "LOCATION",
"city": "West Lawn",
"state": "PA",
"postal_code": "196091436",
"country_code": "US",
"telephone_number": "610-678-1119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUTZ",
"first_name": "AMANDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP447792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "FIDLER",
"middle_name": "M",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Lawn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.