Active NPI
Samuel Moore Saitie, PHARMD
- Pharmacy
- Whiteman Air Force Base, MO
National Provider Identifier
1376241554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RP457466
- Practice address
- 331 Sijen Ave
Whiteman Air Force Base, MO 65305-1269 - Phone
- (660) 687-2137
- NPI assigned
- Feb 17, 2023
- Last updated
- Feb 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | RP457466 | PA | Primary |
Addresses
Primary practice location
331 Sijen Ave
Whiteman Air Force Base, MO 65305-1269
Mailing address
331 Sijan Ave
Whiteman Air Force Base
Kbob Noster, AA 65336
Phone (660) 687-1774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP457466 | PA | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1376241554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "331 SIJAN AVE",
"address_2": "WHITEMAN AIR FORCE BASE",
"city": "KBOB NOSTER",
"state": "AA",
"postal_code": "65336",
"telephone_number": "660-687-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 SIJEN AVE",
"city": "WHITEMAN AIR FORCE BASE",
"state": "MO",
"postal_code": "653051269",
"telephone_number": "660-687-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAITIE",
"first_name": "SAMUEL",
"middle_name": "MOORE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "RP457466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteman Air Force Base, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.