Active NPI
Samantha Minnich
- Pharmacist
- London, OH
National Provider Identifier
1114521572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03439044
- Practice address
- 214 Lafayette St
London, OH 43140-9059 - Phone
- (740) 852-5644
- NPI assigned
- Nov 25, 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 | 03439044 | OH | Primary |
Addresses
Primary practice location
214 Lafayette St
London, OH 43140-9059
Mailing address
214 Lafayette St
London, OH 43140-9059
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 |
|---|---|---|---|
| 03439044 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1114521572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 LAFAYETTE ST",
"city": "LONDON",
"state": "OH",
"postal_code": "431409059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 LAFAYETTE ST",
"city": "LONDON",
"state": "OH",
"postal_code": "431409059",
"telephone_number": "740-852-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICH",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, OH
- Tara Jean Meadows
- Mental Health Services for Clark and Madison Counties, Inc. (Mental Health Services for Madison County)
- Leonard A Migliore, R.PH.
- Jodi Milburn
- Kristie G Minner, RPH
- Leanne Monroe, RPH
- Sarah Morgan, LISW
- Haley Mortenson, PT, DPT
- Mount Carmel - Osu Physician Alliance LLC
- Mount Carmel Health Providers Two, LLC (Vascular and Endovascular Surgical Providers (London))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.