Active NPI
Amanda Michelle Salomon Roth, PHARM.D.
- Pharmacist
- Norwalk, CT
National Provider Identifier
1932560042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13317
- Practice address
- 6 Willard Rd
Norwalk, CT 06851-4414 - Phone
- (203) 750-6901
- Fax
- (203) 840-1961
- NPI assigned
- Mar 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 13317 | CT | Primary |
| Pharmacist | 183500000X | 71548 | CA |
Addresses
Primary practice location
6 Willard Rd
Norwalk, CT 06851-4414
Mailing address
6 Willard Rd
Norwalk, CT 06851-4414
Phone (203) 750-6901
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 |
|---|---|---|---|
| 13317 | CT | MD | General Practice Dentistry |
| 71548 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1932560042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WILLARD RD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514414",
"telephone_number": "203-750-6901",
"fax_number": "203-840-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WILLARD RD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514414",
"telephone_number": "203-750-6901",
"fax_number": "203-840-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "AMANDA",
"middle_name": "MICHELLE SALOMON",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "13317",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.