Samuel Simcox

Primary specialty

PharmacistTaxonomy code 183500000X

License

30798 Issued in NC

Practice address

2429 University Commons Way
Knoxville, TN 37919-5585

Phone

(865) 522-6462

NPI assigned

Aug 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Publix North Carolina LP

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1700246717
  NPD
• Publix Tennessee LLC

  • Community/Retail Pharmacy
  • Knoxville, TN
  • NPI 1235547423
  NPD (past)
• Publix Tennessee, LLC

  • Community/Retail Pharmacy
  • Farragut, TN
  • NPI 1639042229
  NPD (past)
• Publix North Carolina, LP

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1578360525
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1285301192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MILLER ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044212",
            "telephone_number": "336-724-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 UNIVERSITY COMMONS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195585",
            "telephone_number": "865-522-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Miller St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044212",
            "country_code": "US",
            "telephone_number": "336-724-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMCOX",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@publix.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "@publix.com",
            "address_1": "34 Miller St",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271044212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Fatima Silverio
• Ava Clair Silvers
• Matthew Silvey, L.C.S.W.
• Michelle Marie Silvey
• Jea Wook Sim, M.D.
• Shaina Simerly
• Victoria NA Simmons-Hardwick
• Christopher Scott Simmons
• Clarke Vera Boards Simmons, PTA
• Cynthia E. Simmons, PA

• Pharmacist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.