DR. AMANDA ROSE GIBSON (NPI# 1457800856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457800856 |
| Entity Type | Individual |
| Full Name | DR. AMANDA ROSE GIBSON |
| Credential | PHARMD |
| Practice Address |
102 State Rd Dowagiac MI 49047-1041 |
| Practice Telephone | 2697822962 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302044583 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258267 | Amanda Marie Gibson | Dietitian, Registered | 204 Holiday Dr, Houma, LA 70364-2644 | 2020-09-08 |
| 1912324708 | Amanda Gibson | Ophthalmology | 2929 Kenny Rd Ste 150, Columbus, OH 43221-2458 | 2014-03-18 |
| 1770913584 | Amanda Logan Gibson | Behavioral Analyst | 8408 Stacy Rd Ste 300, Mckinney, TX 75070-2422 | 2013-11-14 |
| 1619304771 | Amanda Gibson | Case Manager/Care Coordinator | 11605 3rd Street E, Treasure Island, FL 33706 | 2013-10-03 |
| 1437434594 | Amanda Renee Gibson | Counselor | 850 W University Dr, Suite C, Rochester, MI 48307-1852 | 2011-10-19 |
| 1639330731 | Amanda J Gibson | Dietitian, Registered | 503 Katrina Ct, Mechanicsburg, PA 17050-2549 | 2008-06-20 |
| 1356950778 | Amanda M Gibson | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-07-31 |
| 1588291538 | Amanda Smeltzer Gibson | Pharmacist | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2020-03-26 |
| 1649803222 | Amanda Watson Gibson | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-02-21 |
| 1093294282 | Amanda M Gibson | Nurse Practitioner | 1050 Reid Pkwy Ste 110, Richmond, IN 47374 | 2018-08-09 |
| Street Address |
102 STATE RD |
| City | DOWAGIAC |
| State | MI |
| Zip Code | 49047-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699147462 | Trevor Loftus | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2015-10-20 |
| 1457994527 | John David Ross | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2019-10-22 |
| 1699322073 | Christian Sukola | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2019-08-21 |
| 1144788043 | Syed Aftab | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2019-03-09 |
| 1841700101 | Regina Takamura | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2017-10-01 |
| 1053603969 | Irving Talbot | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2011-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497149124 | Karianne Ely | Specialist/Technologist | 92407 Center Dr, Dowagaic, MI 49047 | 2015-03-19 |
| 1669786257 | Pokagon Band of Potawatomi Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 32652 Kno Dr, Dowagiac, MI 49047 | 2010-08-06 |
| 1851619332 | Paddington Healthcare of Michigan LLC | Skilled Nursing Facility | 55432 Colby Street, Dowagiac, MI 49047 | 2010-05-10 |
| 1649502592 | Dowagiac Surgery PC | Surgery | 106 South Lowe St, Dowagiac, MI 49047 | 2010-02-03 |
| 1134336605 | Stephanie Lynn Munson | Specialist/Technologist | 29650 M62 W, Dowagiac, MI 49047 | 2007-05-16 |
| 1689705444 | Michael R Dewitt | Pharmacist | 56151 M51 South, Dowagiac, MI 49047 | 2007-03-07 |
| 1225185705 | Pokagon Band of Potawatomi Indians | Dietitian, Registered | 32652 Kno, Dowagiac, MI 49047 | 2007-01-05 |
| 1588726517 | Lee Memorial Hospital Corporation | Clinic/Center | 67892 M-152, Dowagiac, MI 49047 | 2006-12-15 |
| 1326156332 | Megan Lynne Foote | Pharmacist | 56151 M-51, Dowagiac, MI 49047 | 2006-08-29 |
| 1467567057 | Jonathan Wade Gillesby | Dentist | 530 Riverside Drive, Dowagiac, MI 49047 | 2006-08-21 |
| Find all providers in zip 49047 | ||||
| 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 |
|---|---|---|---|---|
| 1699147462 | Trevor Loftus | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2015-10-20 |
| 1689705444 | Michael R Dewitt | Pharmacist | 56151 M51 South, Dowagiac, MI 49047 | 2007-03-07 |
| 1326156332 | Megan Lynne Foote | Pharmacist | 56151 M-51, Dowagiac, MI 49047 | 2006-08-29 |
| 1457994527 | John David Ross | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2019-10-22 |
| 1699322073 | Christian Sukola | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2019-08-21 |
| 1144788043 | Syed Aftab | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2019-03-09 |
| 1841700101 | Regina Takamura | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2017-10-01 |
| 1538441399 | Amanda L Baldwin | Pharmacist | 32652 Kno Drive, Dowagiac, MI 49047 | 2011-09-16 |
| 1053603969 | Irving Talbot | Pharmacist | 102 State Rd, Dowagiac, MI 49047-1041 | 2011-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. AMANDA ROSE GIBSON.
| 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.