Rebecca Suzanne Samuel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

52026 Issued in TX

Practice address

426 S Henderson St
Fort Worth, TX 76104-1017

Phone

(866) 566-1548

Fax

(866) 320-8853

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Suzanne Edwards Professional name

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.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1225633290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041017",
            "telephone_number": "866-566-1548",
            "fax_number": "866-320-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041017",
            "telephone_number": "866-566-1548",
            "fax_number": "866-320-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "REBECCA",
        "middle_name": "SUZANNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "EDWARDS",
            "middle_name": "SUZANNE",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jhoanns Jose Aranez Samson, PT, DPT
• Bincy Samuel, NP-C
• Jennifer Samuel, LPC
• Linh Thuy Samuel, D.O.
• Nincy George Samuel, PA-C
• Shervin Samuel, PHYSICIAN ASSISTANT
• Todd E. Samuelson, M.D.
• Kathryn D. San Nicolas, DPT
• Sana Healthcare Carrollton
• Sergio Sanchez-Zambrano, MD

• Pharmacist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.