AMANDA BOURDON PHARMD
NPI 1336740729
Pharmacist in Macomb, IL

Active since November 03, 2020
1730 E JACKSON ST, MACOMB, IL 61455(309) 833-1456 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Bourdon Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA BOURDON PHARMD (NPI 1336740729) is an individual pharmacist in Macomb, Illinois, licensed in Illinois (051301705) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1336740729
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameAMANDA BOURDONCredential: PHARMD
Location Address1730 E JACKSON STMacomb, IL 61455-2531
Mailing Address112 James DrMacomb, IL 61455-3302 · (847) 863-5502
Sole ProprietorNo
Enumeration DateNovember 3, 2020
Last NPPES UpdateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
NPI 1336740729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051301705
Definition
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.
1730 E JACKSON ST, Macomb, IL 61455

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
1730 E JACKSON ST
MACOMB, IL 61455
Optometrist
1730 E JACKSON ST
MACOMB, IL 61455
Optometrist
1730 E JACKSON ST
MACOMB, IL 61455
Pharmacist
1730 E JACKSON ST
MACOMB, IL 61455
Pharmacy (Community/Retail Pharmacy)
1730 E JACKSON ST
MACOMB, IL 61455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bourdon's NPI number?

The NPI number for Amanda Bourdon is 1336740729. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Amanda Bourdon located?

Amanda Bourdon practices at 1730 E Jackson St, Macomb, IL 61455. The listed phone number is (309) 833-1456.

What is Amanda Bourdon's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Amanda Bourdon was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.