Samantha Wendholt, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26029785A Issued in IN

Practice address

610 N Main St
Huntingburg, IN 47542-1044

Phone

(812) 683-3309

Fax

(812) 683-8509

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

No

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.

• Hook-Superx LLC

  • Pharmacy
  • Huntingburg, IN
  • NPI 1922101633
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2022.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1346978210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475421044",
            "telephone_number": "812-683-3309",
            "fax_number": "812-683-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475421044",
            "telephone_number": "812-683-3309",
            "fax_number": "812-683-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDHOLT",
        "first_name": "SAMANTHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26029785A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Harreld Troutman Jr., OD
• Brian M Wagner, DDS
• Lee B Walden, DC
• Michael G Warren, DDS
• Wellness Center of Indiana LLC
• Shannon Elisa Wood, D.D.S.

• All providers in Huntingburg, IN
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.