Samantha Dow, PHARMD

Key facts

NPI

1417549577

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

21925 (IA)

Practice address

104 E Traer St Ste 101
Greene, IA 50636-7702

Phone

(641) 816-3013

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Mercy Health Services-Iowa Corp Community/Retail Pharmacy · Northwood, IA · NPI 1316909484
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2021.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1417549577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "GREENE",
            "state": "IA",
            "postal_code": "506360639",
            "telephone_number": "641-816-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E TRAER ST STE 101",
            "city": "GREENE",
            "state": "IA",
            "postal_code": "506367702",
            "telephone_number": "641-816-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW",
        "first_name": "SAMANTHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mercyone.nia.outpt.pharmacists@trinityhealthia.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "104 E Traer St Ste 101",
            "city": "Greene",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506367702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greene, IA

• Allimont Pharmacies Inc
• Ams Memorial-Greene LLC
• John R. Ebensberger, MD
• Greene Community School District
• Greene Volunteer Ambulance Service
• Heartland Therapy LLC
• Sarah Ann Janssen, LISW

All providers in Greene, IA · Pharmacist in Iowa