Organization Active NPI

Samaritan Pharmacy

  • Community/Retail Pharmacy
  • Dayton, OH
National Provider Identifier
1407891625
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAMARITAN PHARMACY
Practice address
2222 Philadelphia Dr
Dayton, OH 45406-1813
Phone
(937) 274-1546
Fax
(937) 276-8229
NPI assigned
Jun 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosemary Haubert
Title
Pharmacist
Phone
(937) 274-1546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2222 Philadelphia Dr
Dayton, OH 45406-1813

Mailing address

2222 Philadelphia Dr
Dayton, OH 45406-1813

Other identifiers 2

IdentifierTypeStateIssuer
3649297OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2028031MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Hospital Health Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407891625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061813",
            "telephone_number": "937-274-1546",
            "fax_number": "937-276-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAUBERT",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "937-274-1546"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3649297",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.