Samer Boghdady

Primary specialty

PharmacistTaxonomy code 183500000X

License

24671 Issued in MD

Practice address

103 Flagship Dr
Lutz, FL 33549-5409

Phone

(410) 292-6965

NPI assigned

Mar 23, 2017

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid

  • Community/Retail Pharmacy
  • Baltimore, MD
  • NPI 1861937427
  Authorized official Same address or phone

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1376074062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 EBENEZER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FLAGSHIP DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495409",
            "telephone_number": "410-292-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHDADY",
        "first_name": "SAMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "24671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breshan Marie Boardman, RBT
• Taylor Elizabeth Bobo
• Bhuvan Bodipati
• Gabrielle Bodroghy, IBCLC
• Antony Alexander Boghdadi, DMD
• Tanya R. Bogle, M.D.
• Peter R. Bolos, M.D.
• Gitendra Bommareddy, R.PH
• Terra Bone, LCSW
• Loicy Bonet I, BCBA-1-20-42842

• Pharmacist in Lutz, FL
• Providers in Lutz, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.