Active NPI
Samantha Pennington, PHARMD
- Pharmacist
- Malvern, AR
National Provider Identifier
1154933950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15342
- Practice address
- 1402 MLK Blvd
Malvern, AR 72104-2105 - Phone
- (501) 229-1446
- NPI assigned
- Aug 21, 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 | PD15342 | AR | Primary |
Addresses
Primary practice location
1402 MLK Blvd
Malvern, AR 72104-2105
Mailing address
126 Big Creek Rd
Malvern, AR 72104-6427
Phone (501) 337-6396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | samanthaepennington@gmail.com |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15342 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1154933950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 BIG CREEK RD",
"city": "MALVERN",
"state": "AR",
"postal_code": "721046427",
"telephone_number": "501-337-6396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 MLK BLVD",
"city": "MALVERN",
"state": "AR",
"postal_code": "721042105",
"telephone_number": "501-229-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "SAMANTHA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15342",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "samanthaepennington@gmail.com",
"affiliation": "N",
"address_1": "1402 Mlk Blvd",
"city": "Malvern",
"state": "AR",
"country_code": "US",
"postal_code": "721042105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.