DR. AMANDA R HARRISON (NPI# 1851667182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851667182 |
| Entity Type | Individual |
| Full Name | DR. AMANDA R HARRISON |
| Credential | PHARMD |
| Practice Address |
16700 N Marketplace Blvd Nampa ID 83687-7909 |
| Mailing Address |
1171 W Penelope St Kuna ID 83634-2366 |
| Practice Telephone | 2084653809 |
| Practice Fax Number | 2084653806 |
| Mailing Telephone | 2089222008 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PHA0019658 | CO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 3403 | WY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 6940 | MT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | P6163 | ID | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 173 W 4th St, Kuna, ID 836342046 | 2089224400 | 2089224499 |
| 2051 S Cole Rd, Boise, ID 837092815 | 2083238707 | 2083279577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245649961 | Amanda Harrison | Counselor | 833 Sw 11th Ave Ste 915, Portland, OR 97205-2123 | 2014-08-06 |
| 1659986461 | Amanda Katy Harrison | Nurse Practitioner | 4810 Rusina Rd, Colorado Springs, CO 80907-8104 | 2020-09-09 |
| 1265912950 | Amanda Grace Harrison | Occupational Therapist | 514 S Brown St, Springfield, TN 37172-2937 | 2018-08-21 |
| 1275013526 | Amanda Renee Harrison | Physician Assistant | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2018-08-16 |
| 1881100659 | Amanda Harrison | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2017-12-15 |
| 1225445794 | Amanda Harrison | Occupational Therapist | 4410 Claiborne Sq E Ste 334, Hampton, VA 23666-2074 | 2014-07-16 |
| 1881020881 | Amanda J Harrison | Nurse Anesthetist, Certified Registered | 1450 Western Ave Ste 102, Albany, NY 12203-3539 | 2013-09-23 |
| 1700925021 | Amanda Jane Jenkins Harrison | Counselor | 50 Pleasant St, Northampton, MA 01060-3909 | 2007-02-05 |
| 1497800098 | Amanda Harrison | Counselor | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-24 |
| 1730259961 | Amanda Harrison | Counselor | 831 Dillon Dr, Richmond, IN 47374-8048 | 2006-11-08 |
| Street Address |
16700 N MARKETPLACE BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-7909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| 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 |
|---|---|---|---|---|
| 1588117436 | Elizabeth Mangeac | Pharmacist | 175 S Middleton Rd, Nampa, ID 83686-8124 | 2016-07-27 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1437498235 | George Turgoose | Pharmacist | 2219 12th Avenue, Nampa, ID 83686 | 2013-02-14 |
| 1700143872 | Victor F Allen | Pharmacist | 1603a 12th Ave Rd, Nampa, ID 83686 | 2012-04-13 |
| 1942574678 | Keely Gregory | Pharmacist | 215 E Hawaii Ave Ste 100, Nampa, ID 83686 | 2012-02-27 |
| 1225329287 | Denise Ann Graveline | Pharmacist | 16700 N Marketplace, Nampa, ID 83644 | 2011-04-26 |
| 1700183209 | Bette Robbins | Pharmacist | 118 S Midland Blvd, Nampa, ID 83686-2601 | 2011-02-17 |
| 1720384878 | Susan Kemp | Pharmacist | 16300 N Market Place Blvd, Nampa, ID 83687-7910 | 2011-02-08 |
| 1457673741 | Michael Rixford Proudfoot | Pharmacist | 1813 Caldwell Blvd, Nampa, ID 83651-1505 | 2010-02-27 |
| 1649888454 | Chelsea Chantel Bagby | Pharmacist | 207 1st St S, Nampa, ID 83651-3703 | 2020-07-17 |
| Find all providers in NAMPA | ||||
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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.