Active NPI
Steven Brian Samson
- Pharmacist
- Catonsville, MD
National Provider Identifier
1104422658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12532
- Practice address
- 6223 Baltimore National Pike
Catonsville, MD 21228-2921 - Phone
- (410) 788-6220
- Fax
- (410) 788-0282
- NPI assigned
- Dec 9, 2020
- Last updated
- Dec 9, 2020
- Sex
- Male
- 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 | 12532 | MD | Primary |
Addresses
Primary practice location
6223 Baltimore National Pike
Catonsville, MD 21228-2921
Mailing address
4 Putting Way
Reisterstown, MD 21136-5921
Phone (141) 020-6048
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 |
|---|---|---|---|
| 12532 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1104422658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PUTTING WAY",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211365921",
"telephone_number": "141-020-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6223 BALTIMORE NATIONAL PIKE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212282921",
"telephone_number": "410-788-6220",
"fax_number": "410-788-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "STEVEN",
"middle_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.