Individual provider Active NPI

Fariborz Samouhi, R.PH

  • Pharmacist
  • Plainview, NY
National Provider Identifier
1003091265
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0365521 Issued in NY
Practice address
142A Manetto Hill Rd
Plainview, NY 11803-1310
Phone
(516) 932-7077
Fax
(516) 932-1971
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0365521 NY Primary

Addresses

Primary practice location

142A Manetto Hill Rd
Plainview, NY 11803-1310

Mailing address

142A Manetto Hill Rd
Plainview, NY 11803-1310
Phone (516) 932-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0365521NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Plainview Family Pharmacy Inc Current Accepting new patients

Locations

142A Manetto Hill Rd
Plainview, NY 11803
Phone (516) 932-7077

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1003091265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142A MANETTO HILL RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031310",
            "telephone_number": "516-932-7077",
            "fax_number": "516-932-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142A MANETTO HILL RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031310",
            "telephone_number": "516-932-7077",
            "fax_number": "516-932-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOUHI",
        "first_name": "FARIBORZ",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0365521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.