Active NPI
Amanda R Pugh, PHARMD., RPH
- Pharmacist
- Ellijay, GA
National Provider Identifier
1982802054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 023665
- Practice address
- 80 Cinema Dr
Ellijay, GA 30540-2592 - Phone
- (706) 635-6898
- NPI assigned
- Jul 10, 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 | PS48406 | FL | |
| Pharmacist | 183500000X | 023665 | GA | Primary |
Addresses
Primary practice location
80 Cinema Dr
Ellijay, GA 30540-2592
Mailing address
474 Morton Dr # 6787
Ellijay, GA 30540-4294
Phone (678) 637-1174
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48406 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745107200000",
"number": "1982802054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 MORTON DR # 6787",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305404294",
"telephone_number": "678-637-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 CINEMA DR",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305402592",
"telephone_number": "706-635-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "AMANDA",
"middle_name": "R",
"credential": "PHARMD., RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2025-04-20",
"certification_date": "2025-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48406",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "023665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellijay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.