Active NPI
Amanda Wozniak, PHARMD
- Pharmacist
- Perryville, MO
National Provider Identifier
1972810646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2011004178
- Practice address
- 212 Hospital LN Ste 102
Perryville, MO 63775-4204 - Phone
- (573) 547-4960
- Fax
- (573) 547-6540
- NPI assigned
- Sep 1, 2010
- 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 | 2011004178 | MO | Primary |
Addresses
Primary practice location
212 Hospital LN Ste 102
Perryville, MO 63775-4204
Mailing address
982 N Hills Dr
Cape Girardeau, MO 63701-8911
Phone (573) 275-5113
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 |
|---|---|---|---|
| 2011004178 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1972810646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 N HILLS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637018911",
"telephone_number": "573-275-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 HOSPITAL LN STE 102",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637754204",
"telephone_number": "573-547-4960",
"fax_number": "573-547-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2011004178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.