NPIMap

Individual provider Active NPI

Amanda Rose Hayes, PHARM.D.

  • Pharmacist
  • Colorado Springs, CO
National Provider Identifier
1891131389
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0019810 Issued in CO
Practice address
1115 Elkton Dr Ste 300-P
Colorado Springs, CO 80907-8507
Phone
(719) 257-6928
Fax
(719) 867-4555
NPI assigned
May 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66221 CA
Pharmacist 183500000X 0019810 CO Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 300-P
Colorado Springs, CO 80907-8507

Mailing address

1115 Elkton Dr Ste 300-P
Colorado Springs, CO 80907-8507
Phone (719) 257-6928

Other names 1

  • Dr. Amanda Rose Davis Former name

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

LicenseStateTypeSpecialty
66221CAMDPharmacist
0019810COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC CurrentSince Jan 22, 2023 Accepting new patients
Genoa Healthcare LLC PastSince Jan 22, 2023 Accepting new patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Locations

1115 Elkton Dr
Ste 300P
Colorado Springs, CO 80907
Phone (719) 257-6928

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1891131389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300-P",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078507",
            "telephone_number": "719-257-6928",
            "fax_number": "719-867-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300-P",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078507",
            "telephone_number": "719-257-6928",
            "fax_number": "719-867-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "66221",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0019810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DAVIS",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.