Active NPI
Samantha Socco, PHARM.D.
- Pharmacist
- Mason, OH
National Provider Identifier
1003533258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051303114
- Practice address
- 6960 Cintas Blvd
Mason, OH 45040-8922 - Phone
- (773) 899-2135
- NPI assigned
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051303114 | IL | Primary |
Addresses
Primary practice location
6960 Cintas Blvd
Mason, OH 45040-8922
Mailing address
17W726 Butterfield Rd Apt 114
Oakbrook Terrace, IL 60181-4227
Phone (773) 899-2135
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samantha.socco@myriad.com |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051303114 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1003533258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17W726 BUTTERFIELD RD APT 114",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814227",
"telephone_number": "773-899-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 CINTAS BLVD",
"city": "MASON",
"state": "OH",
"postal_code": "450408922",
"telephone_number": "773-899-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCCO",
"first_name": "SAMANTHA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303114",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samantha.socco@myriad.com",
"affiliation": "N",
"address_1": "6960 Cintas Blvd",
"city": "Mason",
"state": "OH",
"country_code": "US",
"postal_code": "450408922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.