Samuel John Arzumanian, RPH
Individual provider Active NPI Pharmacist · Saint John, IN
NPI 1124611033 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1124611033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26015994A (IN)
- Practice address
- 10865 Maple LN
Saint John, IN 46373-8513 - Phone
- (219) 365-9701
- NPI assigned
- Feb 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015994A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quik Scripts of Northwest Indiana LLC | Current |
Accepting new patients |
Locations
10865 Maple Ln
Saint John, IN 46373
Phone (219) 365-9701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26015994A | IN | Yes |
Addresses
Primary practice location
10865 Maple LN
Saint John, IN 46373-8513
Mailing address
1139 Holly LN
Munster, IN 46321-3012
Phone (219) 218-5678
Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. 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.