Amanda Presnell

Primary specialty

PharmacistTaxonomy code 183500000X

License

019353 Issued in KY

Practice address

990 Baxter Ave
Louisville, KY 40204-2064

Phone

(502) 585-3239

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Louisville, KY
  • NPI 1043225279
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1871104497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042064",
            "telephone_number": "502-585-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042064",
            "telephone_number": "502-585-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESNELL",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "019353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescient Medicine Holdings, Inc.
• Prescott Plastic Surgery & Med Spa PLLC
• Angela Te-Fang Prescott, M.D.
• Rachel Grey Prescott, CRNA
• Paige Elizabeth Presgrove
• Deborah Presser, OT
• Prestige Chiropractic Center
• Preston Chiropractic and Rehabilitation LLC
• Preston Highway Oral Surgery PLLC
• Preston Medical Center

• Pharmacist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pharmacist in Kentucky

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