MRS. AMANDA HARTLAGE (NPI# 1215358072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215358072 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA HARTLAGE |
| Other Name | MS. AMANDA HORNBACK |
| Credential | PHARMD |
| Practice Address |
289 Ireland Ave Fort Knox KY 40121-5111 |
| Practice Telephone | 8126240857 |
| Mailing Telephone | 5026240857 |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26025171A | IN | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26025171A | IN | Pharmacy Service Providers |
| Street Address |
289 IRELAND AVE |
| City | FORT KNOX |
| State | KY |
| Zip Code | 40121-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263775 | Linda Jean Anderson | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2005-05-23 |
| 1770067183 | Marsha Ann Paul | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2018-09-20 |
| 1548789803 | Vickie Davidson | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-09-18 |
| 1245755560 | Alysha Aldridge | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1033634365 | Andraya Clark | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1639628688 | Lisa L Campbell | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-09-30 |
| 1134675689 | Wendy Lee | Dental Hygienist | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-08-25 |
| 1730531104 | Derek A Albright | Dental Assistant | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-07-08 |
| 1104287234 | Laurel Alexander Darhali | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-03-17 |
| 1164889176 | Andres Perez | Emergency Medicine | 289 Ireland Ave, Ireland Army Community Hospital Emergency Deparment, Fort Knox, KY 40121-5111 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
| 1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
| 1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
| 1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
| 1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
| 1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
| 1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
| Find all providers in zip 40121 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1053686626 | Ashley Anne Adams | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121 | 2012-03-15 |
| 1306145909 | Janet K Hunter | Pharmacist | 289 Ireland Ave, Building 851 (meddac Irach Pharmacy), Fort Knox, KY 40121-5111 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1053910976 | Cathy Ramsey Quarles | Pharmacist | 205 Clifty Dr, Frankfort, KY 40601-9500 | 2020-10-21 |
| 1972101434 | Shannon Michelle Brown | Pharmacist | 350 Us 31w Byp, Bowling Green, KY 42101-1770 | 2020-10-15 |
| 1790397081 | Ryan Babb | Pharmacist | 740 S Limestone J-134, Lexington, KY 40536-0001 | 2020-08-19 |
| 1821608415 | Taylor Douglas | Pharmacist | 470 Garrad Rd, Tollesboro, KY 41189-8653 | 2020-08-07 |
| 1255956405 | Alka Herald | Pharmacist | 1417 Glenview Dr, Lexington, KY 40514-2209 | 2020-06-13 |
| 1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
| 1134743248 | Donna Rene Burgess | Pharmacist | Uk Bluegrass Care Clinic 740 S Limestone L504, Lexington, KY 40536-0001 | 2020-06-04 |
| 1417580069 | Amy Remendado Cordero | Pharmacist | 1661 Bypass Rd, Winchester, KY 40391-2715 | 2020-02-21 |
| 1568095909 | Martha Ford | Pharmacist | 375 Crossroads Boulevard, Cold Spring, KY 41076 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.