Samuel Alan Antonian, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26030313A Issued in IN

Practice address

400 W Northfield Dr
Brownsburg, IN 46112-8122

Phone

(317) 858-1415

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2023.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1194403147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128122",
            "telephone_number": "317-858-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128122",
            "telephone_number": "317-858-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIAN",
        "first_name": "SAMUEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26030313A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Andritsch, RBT
• Anew Therapy & Wellness LLC
• Angela Dehaven Brownsburg DDS LLC
• Akudo Anokwute
• Kaylie Antkowiak
• Jamie Appelsies
• Lindsay M Arbino
• Jessie Archer
• Sarah Ardeel, CPSP, CPRC-MH
• Sarah Leigh Ardoin, MT-BC

• All providers in Brownsburg, IN
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.