DR. AMANDA ROLL (NPI# 1255930608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255930608 |
| Entity Type | Individual |
| Full Name | DR. AMANDA ROLL |
| Credential | PHARMD |
| Practice Address |
4613 Marburg Ave Cincinnati OH 45209-5005 |
| Practice Telephone | 5137825120 |
| Mailing Telephone | 5137825120 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| 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 |
03438613 | OH | Pharmacy Service Providers |
| Street Address |
4613 MARBURG AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598144529 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2015-05-22 |
| 1326646811 | William Alan Dudley | Pharmacist | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2020-10-15 |
| 1699304030 | Megan Laurel Weber | Nurse Practitioner | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2020-04-07 |
| 1376199067 | Tara Lynn Poneris | Nurse Practitioner | 4613 Marburg Ave, Cincinnati, OH 45209 | 2019-08-18 |
| 1063999126 | Ericka Sullivan | Nurse Practitioner | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2018-07-22 |
| 1205362035 | Ashley Clement | Nurse Practitioner | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2017-05-11 |
| 1407392277 | Molly Shaker Badr | Nurse Practitioner | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2017-01-17 |
| 1134576226 | Heather Marie Schibi | Nurse Practitioner | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2016-05-18 |
| 1447615422 | Christa Arvay Rudasill | Nurse Practitioner | 4613 Marburg Ave, Cincinnati, OH 45209-5005 | 2015-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| 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 |
|---|---|---|---|---|
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1235763400 | Mike Nicolaci | Pharmacist | 4982 Cleves Warsaw Pike, Cincinnati, OH 45238-4409 | 2020-02-26 |
| 1437458569 | Cameron Winfrey | Pharmacist | 9690 Colerain Ave, Cincinnati, OH 45251-2006 | 2011-03-15 |
| 1053620146 | Shelly Nance | Pharmacist | 150 Tri-county Parkway, Cincinnati, OH 45246 | 2010-10-06 |
| 1801115431 | Joe M Wedig | Pharmacist | 5080 Delhi Pike, Cincinnati, OH 45238-5343 | 2010-05-21 |
| 1053640938 | Annette Stoller | Pharmacist | 1119 Westchester Way, Cincinnati, OH 45244-5040 | 2009-12-23 |
| 1942809421 | Meagan Wiseman | Pharmacist | 3760 Paxton Ave, Cincinnati, OH 45209-2306 | 2020-10-26 |
| 1689273021 | Jamie Combs | Pharmacist | 150 Tri County Pkwy, Cincinnati, OH 45246-3217 | 2020-10-17 |
| 1932707312 | Melissa Huber | Pharmacist | 4777 Kenard Ave, Cincinnati, OH 45232-1992 | 2020-10-16 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
Please comment or provide details below to improve the information on DR. AMANDA ROLL.
| 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.