Samuel Chazin
Individual provider Active NPI Pharmacist · Homer, AK
NPI 1043081797 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1043081797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 211037 (AK)
- Practice address
- 90 Sterling Hwy
Homer, AK 99603-7439 - Phone
- (907) 226-1060
- NPI assigned
- Jan 11, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211037 | AK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 211037 | AK | Yes |
Addresses
Primary practice location
90 Sterling Hwy
Homer, AK 99603-7439
Mailing address
818 Smoky Bay Way
PMB 207
Homer, AK 99603-7653
Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. 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.