Samantha Czibur, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22436 Issued in MD

Practice address

7830 Wormans Mill Rd
Frederick, MD 21701-3034

Phone

(240) 575-7345

Fax

(240) 575-7398

NPI assigned

Jun 27, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Wegmans Food Markets, Inc.

  • Pharmacy
  • Frederick, MD
  • NPI 1578854139
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Raleigh, NC
  • NPI 1467227678
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1124433131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9644 BOTHWELL LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047886",
            "telephone_number": "215-622-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 WORMANS MILL RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013034",
            "telephone_number": "240-575-7345",
            "fax_number": "240-575-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZIBUR",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI008607",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448718",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "061265",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST AND VACCINATION LICENSE",
            "identifier": "22436",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZATION TO ADMINSTER INJECTABLES",
            "identifier": "RPI008607",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RP448718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Ashley Custer
• Katrina Cutshall, LMSW
• CVS Pharmacy
• Cynthia J Moorman MD,PA
• Cynthia J. Moorman, M.D., P.a.
• Janice Daffern
• Dagenhart Health and Wellness, LLC
• Christopher Dagenhart, LMSW
• Joseph C. Dagenhart, LCPC
• Julie Ann Dagenhart, CRNP-PMH

• Pharmacist in Frederick, MD
• Providers in Frederick, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.