Active NPI
Sherene Samu, PHARM.D.
- Pharmacist
- Stony Brook, NY
National Provider Identifier
1245463173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053796
- Practice address
- 100 Nicolls Road
Stony Brook University Medical Center, Pharmacy Dept
Stony Brook, NY 11794 - Phone
- (631) 444-7744
- NPI assigned
- Aug 26, 2009
- 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 | 053796 | NY | Primary |
Addresses
Primary practice location
100 Nicolls Road
Stony Brook University Medical Center, Pharmacy Dept
Stony Brook, NY 11794
Mailing address
100 Nicolls Road
Stony Brook University Medical Center, Pharmacy Dept
Stony Brook, NY 11794
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 |
|---|---|---|---|
| 053796 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1245463173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NICOLLS ROAD",
"address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER, PHARMACY DEPT",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NICOLLS ROAD",
"address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER, PHARMACY DEPT",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "631-444-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMU",
"first_name": "SHERENE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.