DR. AMANDA L REYNOLDS (NPI# 1841222791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841222791 |
| Entity Type | Individual |
| Full Name | DR. AMANDA L REYNOLDS |
| Credential | PHARMD |
| Practice Address |
173 Market St Potsdam NY 13676-1221 |
| Practice Telephone | 3152656192 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 047457 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243655 | Amanda Reynolds | Pharmacist | 6929 Jfk Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-30 |
| 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 |
| 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 |
173 MARKET ST |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195448 | Max Tyler Buscaglia | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2020-08-23 |
| 1164063228 | Matthew Killips | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2019-09-30 |
| 1992072318 | Nicholas S Mills | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2011-11-30 |
| 1104149632 | Michael William Pratt | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2010-03-11 |
| 1184800617 | Kim L. Sprague | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2008-01-15 |
| 1750437802 | Laura Goshko | Pharmacist | 173 Market St, Potsdam, NY 13676 | 2007-01-25 |
| 1588734552 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 173 Market St, Potsdam, NY 13676-1221 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| 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 |
|---|---|---|---|---|
| 1427002021 | Benjamin Gruda | Pharmacist | 80 Root Rd, Potsdam, NY 13676-3444 | 2006-05-19 |
| 1770195448 | Max Tyler Buscaglia | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2020-08-23 |
| 1033748355 | Kelsey Miller | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2020-04-07 |
| 1164063228 | Matthew Killips | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2019-09-30 |
| 1134776289 | Matthew Michael Crough | Pharmacist | 48 Maple St, Potsdam, NY 13676-1124 | 2019-08-23 |
| 1003331240 | Kyle Flint | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-08-09 |
| 1437670890 | Regina C Scott | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-07-06 |
| 1629599097 | Nicholas Larche | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-07-06 |
| 1740672468 | Cody Otero | Pharmacist | 7494 Us Highway 11, Potsdam, NY 13676-3577 | 2015-03-04 |
| 1740685429 | Jennifer Nye | Pharmacist | 50 Leroy St, Pharmacy, Potsdam, NY 13676-1786 | 2014-10-24 |
| Find all providers in POTSDAM | ||||
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| 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.