Active NPI
Amanda Jo Thomas, PHARM.D.
- Pharmacist
- Ravenswood, WV
National Provider Identifier
1891905949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0006786
- Practice address
- 606 Washington St
Ravenswood, WV 26164-1730 - Phone
- (304) 868-6050
- Fax
- (304) 868-2048
- NPI assigned
- May 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0006786 | WV | Primary |
| Pharmacist | 183500000X | 03-3-26796 | OH |
Addresses
Primary practice location
606 Washington St
Ravenswood, WV 26164-1730
Mailing address
167 McGraw Run Rd
Sandyville, WV 25275-9675
Phone (304) 273-5825
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 |
|---|---|---|---|
| RP0006786 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fruth Pharmacy of Ohio Inc | Past | Accepting new patients | |
| Fruth Pharmacy of Ohio Inc | 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
- Belpre, OH
- NPI 1073528907
-
- Community/Retail Pharmacy
- Pomeroy, OH
- NPI 1942387287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891905949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 MCGRAW RUN RD",
"city": "SANDYVILLE",
"state": "WV",
"postal_code": "252759675",
"telephone_number": "304-273-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 WASHINGTON ST",
"city": "RAVENSWOOD",
"state": "WV",
"postal_code": "261641730",
"telephone_number": "304-868-6050",
"fax_number": "304-868-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMANDA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0006786",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-26796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ravenswood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.