Amelia Rose Whitkanack, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD15386 Issued in AR

Practice address

1176 State Highway 22 W Ste a
Dardanelle, AR 72834-3006

Phone

(479) 229-4040

Fax

(479) 229-4049

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Duvall Enterprises Inc

  • Pharmacy
  • Dardanelle, AR
  • NPI 1063410223
  NPD
• Clarksville Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Clarksville, AR
  • NPI 1194010421
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1922609197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 TRAVIS LN",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728306550",
            "telephone_number": "479-214-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 STATE HIGHWAY 22 W STE A",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343006",
            "telephone_number": "479-229-4040",
            "fax_number": "479-229-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Rogers St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "AR",
            "postal_code": "728303792",
            "country_code": "US",
            "telephone_number": "479-647-3138",
            "fax_number": "479-647-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITKANACK",
        "first_name": "AMELIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Kirkland Family Medical Center, PA
• Kimberly Via
• Walmart Inc.
• Brett Randall Walters, PHARM.D.
• Misty Dawn White, M.S. CCC-SLP
• Willow Springs Counseling Services PLLC
• Pamela M Woodson, LCSW
• Makayla Yates

• Pharmacist in Dardanelle, AR
• Providers in Dardanelle, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.