Active NPI
Judith Samuel, RPH,PHARMD
- Pharmacist
- Ponce, PR
National Provider Identifier
1336353846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3485
- Practice address
- 2431 Ave Las Americas
Ponce, PR 00717-2113 - Phone
- (787) 651-5557
- Fax
- (787) 651-5559
- NPI assigned
- May 10, 2007
- 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 | 3485 | PR | Primary |
Addresses
Primary practice location
2431 Ave Las Americas
Ponce, PR 00717-2113
Mailing address
609 Ave Tito Castro
Suite 102 PMB 201
Ponce, PR 00716-0200
Phone (787) 460-6939
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3485 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336353846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 AVE TITO CASTRO",
"address_2": "SUITE 102 PMB 201",
"city": "PONCE",
"state": "PR",
"postal_code": "007160200",
"telephone_number": "787-460-6939",
"fax_number": "787-651-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 AVE LAS AMERICAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007172113",
"telephone_number": "787-651-5557",
"fax_number": "787-651-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "RPH,PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "3485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.