DR. AMANDA ROSE DAVIS (NPI# 1902181795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902181795 |
| Entity Type | Individual |
| Full Name | DR. AMANDA ROSE DAVIS |
| Credential | PHARMD |
| Practice Address |
2500 Koke Mill Rd Springfield IL 62711 |
| Mailing Address |
2609 Sage Lane Springfield IL 62711 |
| Practice Telephone | 2177260979 |
| Mailing Telephone | 2174153122 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051292823 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330423 | Amanda Nicole Davis | Nurse's Aide | 686 Easy St, Marion, OH 43302-1606 | 2020-09-14 |
| 1598318842 | Amanda Lee Davis | Speech-Language Pathologist | 5730 W Centinela Ave Apt 308, Los Angeles, CA 90045-8815 | 2019-07-16 |
| 1790245645 | Amanda Davis | Occupational Therapy Assistant | 22461 Interstate 30 Ste 301, Bryant, AR 72022-2382 | 2019-03-25 |
| 1295246007 | Amanda N. Davis | Marriage & Family Therapist | 5001 Kendall Sta Nw, Acworth, GA 30102-7961 | 2017-10-19 |
| 1558886598 | Amanda Marie Davis | Nurse Practitioner | 18500 E 6th Ave, Aurora, CO 80011-9504 | 2017-08-10 |
| 1386184638 | Amanda Jean Davis | Behavioral Analyst | 34 Manor House Rd, Budd Lake, NJ 07828-2718 | 2017-03-06 |
| 1427593946 | Amanda Jane Davis | Social Worker | 5520 Barton Ln, Shawnee, KS 66203-2246 | 2016-12-20 |
| 1972054013 | Amanda Lee Davis | Hearing Instrument Specialist | 1761 Lisbon St, Unit 2, Lewiston, ME 04240-3525 | 2016-10-24 |
| 1033506209 | Amanda Davis | Social Worker | 7863 Park Gate Dr, North Charleston, SC 29418-3687 | 2015-04-24 |
| 1891192985 | Amanda Kathleen Davis | Nurse Practitioner | 4302 Allen Rd Ste 420, Stow, OH 44224-1070 | 2014-12-04 |
| Street Address |
2500 KOKE MILL RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656460 | Lisa R Dollus | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| 1952523284 | Dental Professionals of Illinois, P.C. | Dentist | 3820 Wabash Ave, Springfield, IL 62711 | 2007-05-03 |
| Find all providers in zip 62711 | ||||
| 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 |
|---|---|---|---|---|
| 1255946299 | Vy Dang | Pharmacist | 45 Willow St Apt 510, Springfield, MA 01103-1966 | 2020-09-15 |
| 1114539756 | Logan Meredith Haley | Pharmacist | 6039 New Chapel Rd, Springfield, TN 37172-1338 | 2020-08-17 |
| 1801413349 | Tung Tran | Pharmacist | 1028 Lincoln Ave, Springfield, PA 19064-3923 | 2020-07-01 |
| 1033739453 | John Frederick Endris | Pharmacist | 505 Colbrook Dr, Springfield, IL 62702-3384 | 2020-04-27 |
| 1770103889 | Seth Nelson | Pharmacist | 1150 N 5th St, Springfield, IL 62702-3800 | 2020-04-18 |
| 1952921074 | Edward John Oldfield | Pharmacist | 3441 Smythberry Ln Apt 7, Springfield, IL 62711-8210 | 2020-04-18 |
| 1255965240 | Matthew Sherriffs | Pharmacist | 2 Medical Center Dr Ste 204, Springfield, MA 01107-1271 | 2020-02-27 |
| 1023649134 | Kendra Yociss | Pharmacist | 201 E Madison St, Springfield, IL 62702-5131 | 2020-01-28 |
| 1861049397 | Laura A Kosiorek | Pharmacist | 242 Prentice St, Springfield, MA 01104-1525 | 2019-08-20 |
| 1144880048 | Akemi Nishida | Pharmacist | 520 Ethan Ct, Springfield, OR 97477-9407 | 2019-06-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
Please comment or provide details below to improve the information on DR. AMANDA ROSE DAVIS.
| 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.