DR. AMANDA ANDREWS CONWAY (NPI# 1336453000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336453000 |
| Entity Type | Individual |
| Full Name | DR. AMANDA ANDREWS CONWAY |
| Credential | PHARM D |
| Practice Address |
4577 Main St Shallotte NC 28470-4447 |
| Practice Telephone | 9107555959 |
| Practice Fax Number | 9107555956 |
| Mailing Telephone | 9107555959 |
| Mailing Fax Number | 9107555956 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19751 | NC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0105549 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689581 | Amanda Conway | Occupational Therapist | 982 Eastern Pkwy, Louisville, KY 40217-1566 | 2020-11-06 |
| 1992250112 | Amanda E Conway | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-17 |
| 1548668015 | Amanda Beth Conway | Nurse Anesthetist, Certified Registered | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2014-12-15 |
| 1144566472 | Amanda Conway | Behavioral Analyst | 3925 N Mlk Blvd Ste 212, North Las Vegas, NV 89032-7676 | 2012-12-13 |
| 1295866226 | Amanda Brook Conway | Specialist/Technologist | 600 Asbury Cir, Atlanta, GA 30322-1006 | 2007-03-09 |
| Street Address |
4577 MAIN ST |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275769481 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4577 Main St, Shallotte, NC 28470-4447 | 2009-06-02 |
| 1255715561 | Julie Ann Evans | Pharmacist | 4577 Main St, Shallotte, NC 28470-4447 | 2015-07-16 |
| 1265769731 | Carmen Michelle Suedmeier | Pharmacist | 4577 Main St, Shallotte, NC 28470-4447 | 2009-11-04 |
| 1679808059 | Heather Renee Vick | Pharmacist | 4577 Main St, Shallotte, NC 28470-4447 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508196361 | Julie Alston Kesterson | Pharmacist | 4600 Main St Ste 2, Shallotte, NC 28470-1899 | 2009-12-29 |
| 1215567532 | Jenna Leander Spell | Pharmacist | 4553 Main St, Shallotte, NC 28470-4447 | 2020-01-26 |
| 1023596301 | Jared Michael | Pharmacist | 4553 Main St, Shallotte, NC 28470-4447 | 2018-07-30 |
| 1477076198 | Heavan Lee Helms | Pharmacist | 4553 Main St, Shallotte, NC 28470 | 2017-07-25 |
| 1861939316 | Cindy Brown | Pharmacist | 4540 Main St, Shallotte, NC 28470-4446 | 2017-01-23 |
| 1891231221 | Jennifer Herring | Pharmacist | 4540 Main St, Shallotte, NC 28470-4446 | 2017-01-09 |
| 1134665557 | Athan Vrettos | Pharmacist | 4540 Main St, Shallotte, NC 28470-4446 | 2017-01-09 |
| 1255715561 | Julie Ann Evans | Pharmacist | 4577 Main St, Shallotte, NC 28470-4447 | 2015-07-16 |
| 1396028411 | Erica Lynn Meekins | Pharmacist | 4540 Main St, Shallotte, NC 28470-4446 | 2011-09-25 |
| 1154618791 | Gary Justice | Pharmacist | 4553 Main St, Shallotte, NC 28470-4447 | 2011-07-04 |
| Find all providers in SHALLOTTE | ||||
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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.