Provider Demographics
NPI:1336377092
Name:MCEVOY, AMANDA MARY (PHARMD, BCPS, CDE)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARY
Last Name:MCEVOY
Suffix:
Gender:F
Credentials:PHARMD, BCPS, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 BROCKMAN MCCLIMON RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-6608
Mailing Address - Country:US
Mailing Address - Phone:716-913-3753
Mailing Address - Fax:
Practice Address - Street 1:415 BROCKMAN MCCLIMON RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6608
Practice Address - Country:US
Practice Address - Phone:716-913-3753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36569183500000X
NY052669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist