Samantha Leigh Slate

Primary specialty

PharmacistTaxonomy code 183500000X

License

03331391 Issued in OH

Practice address

205 West Avenue
Pharmacy
Tallmadge, OH 44278

Phone

(330) 634-0688

Fax

(330) 634-0691

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• The Tamarkin Company

  • Community/Retail Pharmacy
  • Tallmadge, OH
  • NPI 1205841129
  NPD (past)
• The Tamarkin Company

  • Community/Retail Pharmacy
  • Erie, PA
  • NPI 1427063353
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1407510175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WEST AVENUE",
            "address_2": "PHARMACY",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "44278",
            "telephone_number": "330-634-0688",
            "fax_number": "330-634-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WEST AVENUE",
            "address_2": "PHARMACY",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "44278",
            "telephone_number": "330-634-0688",
            "fax_number": "330-634-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATE",
        "first_name": "SAMANTHA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Roth, O.D. Inc.
• Gerald Albert Sikora
• Stephen Marc Silling, PHD
• Monica Sincel
• Lauren Skove
• Elizabeth Slepoy
• Philip John Smelcer, M.D.
• Doryian Smith, SWT
• Patricia Smith, P.T.A.
• Darren Michael Smucker, MD

• Pharmacist in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.