Active NPI
Sean Samsami, PHARM D
- Pharmacist
- Palmdale, CA
National Provider Identifier
1083274658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79419
- Practice address
- 39440 10TH St W
Palmdale, CA 93551-3747 - Phone
- (661) 265-7361
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 79419 | CA | Primary |
Addresses
Primary practice location
39440 10TH St W
Palmdale, CA 93551-3747
Mailing address
15119 Burbank Blvd Apt 9
Van Nuys, CA 91411-3564
Phone (310) 806-0198
Other practice location 1
58133 29 Palms Hwy
Yucca Valley, CA 92284-5801
Phone (760) 369-4615
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 |
|---|---|---|---|
| 79419 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pharmacy
- Palmdale, CA
- NPI 1972525665
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
-
- Pharmacy
- Yucca Valley, CA
- NPI 1992710289
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1083274658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15119 BURBANK BLVD APT 9",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914113564",
"telephone_number": "310-806-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39440 10TH ST W",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513747",
"telephone_number": "661-265-7361"
}
],
"practiceLocations": [
{
"address_1": "58133 29 Palms Hwy",
"address_purpose": "LOCATION",
"city": "Yucca Valley",
"state": "CA",
"postal_code": "922845801",
"country_code": "US",
"telephone_number": "760-369-4615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMSAMI",
"first_name": "SEAN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.