Healthcare Provider Details

I. General information

NPI: 1285323204
Provider Name (Legal Business Name): AMANDA DAWN CAIN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 US 73 HWY
ATCHISON KS
66002
US

IV. Provider business mailing address

1920 US 73
ATCHISON KS
66002
US

V. Phone/Fax

Practice location:
  • Phone: 913-367-6142
  • Fax: 913-367-9698
Mailing address:
  • Phone: 913-337-6142
  • Fax: 913-367-9698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14581
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: