Individual provider Active NPI

Samantha Gunzetta Iwu, PHARMD

  • Pharmacist
  • Aliceville, AL
National Provider Identifier
1194329219
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19204 Issued in AL
Practice address
113 3Rd St SE
Aliceville, AL 35442-2718
Phone
(205) 373-8475
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19204 AL Primary

Addresses

Primary practice location

113 3Rd St SE
Aliceville, AL 35442-2718

Mailing address

113 3Rd St SE
Aliceville, AL 35442-2718
Phone (205) 373-8475

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

LicenseStateTypeSpecialty
19204ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy, L.L.C. CurrentSince Mar 12, 2024 Accepting new patients
Alabama CVS Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients

Locations

113 3rd St SE
Aliceville, AL 35442
Phone (205) 373-8475

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1194329219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 3RD ST SE",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "354422718",
            "telephone_number": "205-373-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 3RD ST SE",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "354422718",
            "telephone_number": "205-373-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWU",
        "first_name": "SAMANTHA",
        "middle_name": "GUNZETTA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "19204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliceville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.