AMANDA REYNOLDS (NPI# 1982243655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982243655 |
| Entity Type | Individual |
| Full Name | AMANDA REYNOLDS |
| Practice Address |
6929 Jfk Blvd Ste 5 North Little Rock AR 72116-5397 |
| Mailing Address |
800 Club Rd Sherwood AR 72120-5208 |
| Practice Telephone | 5018356530 |
| Mailing Telephone | 5017499450 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PD12315 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861830549 | Amanda M Reynolds | Marriage & Family Therapist | 9006 Leeland Archer Blvd, Orlando, FL 32836-8838 | 2013-06-04 |
| 1922304658 | Amanda Michelle Reynolds | Community Health Worker | 2138 Se Maryland Ave, Topeka, KS 66605-1338 | 2011-01-27 |
| 1841222791 | Amanda L Reynolds | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2006-07-07 |
| 1710591755 | Amanda Reynolds | Social Worker | 4 Forest Ave, Paramus, NJ 07652-5237 | 2020-09-08 |
| 1780293225 | Amanda Lee Reynolds | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-30 |
| 1821626334 | Amanda Melece Reynolds | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-03-30 |
| 1194266023 | Amanda Dewitt Reynolds | Nurse Practitioner | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2017-03-10 |
| 1710427992 | Amanda Reynolds | Military Hospital | 520 9th St, Slidell, LA 70458-1416 | 2017-03-07 |
| 1952785222 | Amanda Reynolds | Nurse Practitioner | 1006 S Division St, Carterville, IL 62918-1539 | 2015-07-16 |
| 1447637426 | Amanda Reynolds | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2015-04-29 |
| Street Address |
6929 JFK BLVD STE 5 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-5397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| 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 |
|---|---|---|---|---|
| 1336788074 | Melissa Ann Vail | Pharmacist | 6929 John F Kennedy Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-28 |
| 1184261174 | Ashley Nicole Norton | Pharmacist | 4403 Camp Robinson Rd Ste A, North Little Rock, AR 72118-3699 | 2019-12-09 |
| 1750928800 | Jonathan Bryant | Pharmacist | 2509 Mccain Blvd, North Little Rock, AR 72116-7606 | 2019-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1215575964 | Jill Madonia Frazier | Pharmacist | 2 Coffee Pot Ln, Little Rock, AR 72202-1624 | 2019-12-12 |
| 1851938732 | Jerald Christopher Hailey | Pharmacist | 8415 W Markham St Ste B, Little Rock, AR 72205-2496 | 2019-12-10 |
| 1205344678 | Whitney Woodward Campbell | Pharmacist | 1848 W Main St, Cabot, AR 72023-2745 | 2018-01-18 |
| 1659807691 | Janna Hawthorne | Pharmacist | 900 S Shackleford Rd Ste 501, Little Rock, AR 72211-3847 | 2017-05-11 |
| 1578987566 | Cheryl Ann Bush | Pharmacist | 16912 Old Highway 5, Cabot, AR 72023-8051 | 2014-02-11 |
| 1841639994 | Carol Ann Vestal | Pharmacist | 518 Meadow Rd, Russellville, AR 72802-1829 | 2013-06-21 |
| 1225339682 | Marty J Lute | Pharmacist | 306 East 3rd Street, Mccrory, AR 72101 | 2010-11-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on AMANDA REYNOLDS.
| 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.