Active NPI
Samantha Jo Redfern, PHARMD
- Pharmacist
- Raleigh, NC
National Provider Identifier
1043613391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30214
- Practice address
- 5000 Falls of Neuse Rd
Suite 300
Raleigh, NC 27609-5480 - Phone
- (984) 200-1549
- Fax
- (984) 200-2542
- NPI assigned
- Oct 1, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30214 | NC | Primary |
| Pharmacist | 183500000X | 058232 | NY |
Addresses
Primary practice location
5000 Falls of Neuse Rd
Suite 300
Raleigh, NC 27609-5480
Mailing address
1295 E Main St
Rock Hill, SC 29730-5947
Phone (803) 324-7563
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 |
|---|---|---|---|
| 30214 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 058232 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1043613391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 E MAIN ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305947",
"telephone_number": "803-324-7563",
"fax_number": "803-980-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 FALLS OF NEUSE RD",
"address_2": "SUITE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095480",
"telephone_number": "984-200-1549",
"fax_number": "984-200-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDFERN",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30214",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058232",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.