Samuel Baiden-Amissah
Individual provider Active NPI Pharmacist · Newburgh, IN
NPI 1093083347 · NPPES record last updated Dec 1, 2011
Key facts
- NPI
- 1093083347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26024374A (IN)
- Practice address
- 7769 Highway 66
Newburgh, IN 47630-7732 - Phone
- (812) 853-5339
- NPI assigned
- Dec 1, 2011
- 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 |
|---|---|---|---|
| 26024374A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024374A | IN | Yes |
Addresses
Primary practice location
7769 Highway 66
Newburgh, IN 47630-7732
Mailing address
7769 Highway 66
Newburgh, IN 47630-7732
Phone (812) 853-5339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215942347 | Other | IN | WALGREENS 7058 |
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2011. 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.