Samantha Spicer, PHARMD
Individual provider Active NPI Pharmacist · De Witt, AR
NPI 1003395435 · NPPES record last updated Aug 7, 2018
Key facts
- NPI
- 1003395435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD14599 (AR)
- Practice address
- 1640 S Whitehead Dr
De Witt, AR 72042-2994 - Phone
- (870) 946-2381
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14599 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14599 | AR | Yes |
Addresses
Primary practice location
1640 S Whitehead Dr
De Witt, AR 72042-2994
Mailing address
1614 Strait PL
Stuttgart, AR 72160-5722
Other providers in De Witt, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.