Active NPI
Amanda Colby Davis
- Pharmacist
- Meridian, ID
National Provider Identifier
1912338021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021275
- Practice address
- 1820 S Silverstone Way
Suite 200
Meridian, ID 83642 - Phone
- (855) 745-5725
- NPI assigned
- Nov 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S021275 | AZ | Primary |
Addresses
Primary practice location
1820 S Silverstone Way
Suite 200
Meridian, ID 83642
Mailing address
1820 S Silverstone Way
Suite 200
Meridian, ID 83642
Phone (855) 745-5725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S021275 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pillpack LLC | Current | Accepting new patients |
Locations
1820 S Silverstone Way
Ste 200
Meridian, ID 83642
Phone (855) 206-3605
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1912338021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 S SILVERSTONE WAY",
"address_2": "SUITE 200",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "855-745-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 S SILVERSTONE WAY",
"address_2": "SUITE 200",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "855-745-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"middle_name": "COLBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-29",
"last_updated": "2021-04-08",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.