Skip to content

Amanda Clary

NPI 1780210484ActiveIndividual· Pharmacist· Green Bay, WI

Pharmacist in Green Bay, Wisconsin, licensed in WI, with an NPI issued in March 2020. Part D covered 18 prescriptions written in 2024, 0% of them generic.

Overview

NPI1780210484
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 14, 2020
Last updated in NPPESMar 14, 2020
Certified by providerMar 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X157890-40WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)18 · 18 30-day fills
Patients18
Total drug cost$3,392
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Green Bay

All 158 pharmacists in Green Bay · All pharmacists in Wisconsin