Samantha E Vivas, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23232 Issued in AL

Practice address

12275 Highway 231 431 N
Meridianville, AL 35759-1205

Phone

(256) 828-8550

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Alabama CVS Pharmacy, L.L.C.

  • Pharmacy
  • Meridianville, AL
  • NPI 1679728836
  NPD
• Alabama CVS Pharmacy LLC

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1073397378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12275 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591205",
            "telephone_number": "256-828-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12275 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591205",
            "telephone_number": "256-828-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVAS",
        "first_name": "SAMANTHA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "23232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina De Pedro Thompson, PHYSICAL THERAPIST
• Mark Anthony Thompson, DC FACO
• Patricia L Tomlinson-Long, D.C.
• Johnetta Turner
• Melissa Villagrana, PHARMD
• Walgreen Co
• Vicky Diane Walker, LPTA
• William E Gunn MD LLC
• Stacey Wilson, PHARM.D
• Julie Wood

• Pharmacist in Meridianville, AL
• Providers in Meridianville, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.