Sam Theyyan Nathan, BS/PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

10756 Issued in MD

Practice address

40955 Merchants LN
Leonardtown, MD 20650-3702

Phone

(301) 475-7212

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366529851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 RED LION PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022030",
            "telephone_number": "301-932-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40955 MERCHANTS LN",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503702",
            "telephone_number": "301-475-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "SAM",
        "middle_name": "THEYYAN",
        "credential": "BS/PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark F Musket, PA-C
• Melissa Myers, MS, OTR/L
• Michelle Narducci, CRNP
• Narendrakumar K Laheri MD PA (N. K. Laheri, M.D., P.A.)
• Annette Marie Naru, CRNP
• National Rehabilitation Hospital Inc (MedStar Health Physical Therapy at Leonardtown)
• Joyce W Neal, M.D.
• Catherine Ingard Negri, MD
• Lillie Nelson
• Dana Marie Nichols, PTA

• Pharmacist in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Pharmacist in Maryland

• 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.

Verify at the official NPI Registry.