Individual provider Active NPI

Melinda Dawn Sams, PHARMD

  • Pharmacist
  • Laughlin Afb, TX
National Provider Identifier
1265404552
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16913 Issued in NC
Practice address
590 Mitchell Blvd
47 MDG Pharmacy, BLDG 351
Laughlin Afb, TX 78843-5242
Phone
(830) 298-6451
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16913 NC Primary

Addresses

Primary practice location

590 Mitchell Blvd
47 MDG Pharmacy, BLDG 351
Laughlin Afb, TX 78843-5242

Mailing address

590 Mitchell Blvd
47 MDG Pharmacy, BLDG 351
Laughlin Afb, TX 78843-5242
Phone (830) 298-6451

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
16913NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1265404552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MITCHELL BLVD",
            "address_2": "47 MDG PHARMACY, BLDG 351",
            "city": "LAUGHLIN AFB",
            "state": "TX",
            "postal_code": "788435242",
            "telephone_number": "830-298-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MITCHELL BLVD",
            "address_2": "47 MDG PHARMACY, BLDG 351",
            "city": "LAUGHLIN AFB",
            "state": "TX",
            "postal_code": "788435242",
            "telephone_number": "830-298-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "MELINDA",
        "middle_name": "DAWN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin Afb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.