Active NPI
Samantha Samaan
- Pharmacist
- Fort Lauderdale, FL
National Provider Identifier
1083217046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41798
- Practice address
- 2240 E Sunrise Blvd
Fort Lauderdale, FL 33304-2543 - Phone
- (954) 566-8309
- NPI assigned
- Nov 20, 2020
- 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 | 41798 | FL | Primary |
Addresses
Primary practice location
2240 E Sunrise Blvd
Fort Lauderdale, FL 33304-2543
Mailing address
2240 E Sunrise Blvd
Fort Lauderdale, FL 33304-2543
Phone (954) 566-8309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41798 | Other | FL | PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41798 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1083217046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E SUNRISE BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042543",
"telephone_number": "954-566-8309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 E SUNRISE BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042543",
"telephone_number": "954-566-8309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAAN",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "41798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "41798",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.