AMANDA A DOUGLAS (NPI# 1093861973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093861973 |
| Entity Type | Individual |
| Full Name | AMANDA A DOUGLAS |
| Credential | PHARMD |
| Practice Address |
3600 30th St Des Moines IA 50310-5753 |
| Mailing Address |
1540 Andrews Dr Pleasant Hill IA 50327-7070 |
| Practice Telephone | 5156995435 |
| Mailing Telephone | 5153141352 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19863 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315906 | Amanda Douglas | Speech-Language Pathologist | 12371 S. Kirkwood Rd, Stafford, TX 77477 | 2017-09-22 |
| 1386122869 | Amanda N Douglas | Physician Assistant | 1908 N Beale Rd Ste E, Marysville, CA 95901-6937 | 2018-08-06 |
| 1891248282 | Amanda Douglas | Counselor | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2016-08-02 |
| 1083065999 | Amanda Douglas | Social Worker | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2016-06-22 |
| 1053701805 | Amanda Douglas | Pharmacy Technician | 9901 York Rd, Cockeysville, MD 21030-3407 | 2015-02-02 |
| 1477786671 | Amanda Anne Douglas | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2009-09-03 |
| Street Address |
3600 30TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635854 | Douglas J Fitzgerald | Pharmacist | 3600 30th St, Pharmacy Dept Mail Stop 119, Des Moines, IA 50310-5876 | 2005-08-04 |
| 1144821091 | Grace Fenner | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-06 |
| 1356942213 | Megan Trimble | Recreation Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-05 |
| 1881295376 | Christine Louise Way | Respiratory Therapist, Registered | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-03 |
| 1457951568 | Paige N Webb | Technician, Pathology | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-28 |
| 1407455546 | Suzanne Elizabeth Anderson | Music Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-20 |
| 1457958787 | Cole Jones Fister | Physical Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-09 |
| 1548875909 | Jessica Rose-stults Quintanilla | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-09-12 |
| 1780293688 | Kailey Ann Ingram | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-27 |
| 1679181606 | John Matthew Boltz | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| 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 |
|---|---|---|---|---|
| 1780204438 | Jeffrey Wayne Dimon | Pharmacist | 3330 Mlk Jr Pkwy, Des Moines, IA 50310-5672 | 2020-04-23 |
| 1730720830 | Amanda Najat Abdulbaki | Pharmacist | 8515 Douglas Ave Ste 16, Des Moines, IA 50322-2927 | 2019-10-01 |
| 1972158939 | Madison Koppin | Pharmacist | 1415 Woodland Ave Ste 238, Des Moines, IA 50309-3203 | 2019-08-07 |
| 1962060236 | Michael Glennon Carr | Pharmacist | 317 6th Ave, Des Moines, IA 50309-4109 | 2019-06-03 |
| 1235687328 | Bryan Nguyen | Pharmacist | 2209 S 254th Ct, Des Moines, WA 98198-9097 | 2016-09-17 |
| 1366814055 | Kendy Rose Fauska | Pharmacist | 4813 Sawyers Dr, Des Moines, IA 50310-2950 | 2015-10-21 |
| 1750771952 | Emily Carruthers | Pharmacist | 3923 Twana Dr, Des Moines, IA 50310-4234 | 2015-01-27 |
| 1639588510 | Angela Aarhus | Pharmacist | 1719 Grand Ave Unit 335, Des Moines, IA 50309-3018 | 2014-08-05 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1891048013 | Frances Van Cleave | Pharmacist | 20636 10th Ave S, Des Moines, WA 98198-2644 | 2012-10-25 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on AMANDA A DOUGLAS.
| 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.