Individual provider Active NPI

Samuel Falana, PHARM D

  • Pharmacist
  • Poulsbo, WA
National Provider Identifier
1447608542
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH 60370078 Issued in WA
Practice address
21200 Olhava Way NW
Poulsbo, WA 98370-9457
Phone
(360) 697-3670
NPI assigned
May 31, 2016
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH 60370078 WA Primary

Addresses

Primary practice location

21200 Olhava Way NW
Poulsbo, WA 98370-9457

Mailing address

2034 NW Bobwhite LN
A2-201
Silverdale, WA 98383-8177

Other identifiers 1

IdentifierTypeStateIssuer
60370078OtherWAPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
PH 60370078WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1447608542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 NW BOBWHITE LN",
            "address_2": "A2-201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 OLHAVA WAY NW",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709457",
            "telephone_number": "360-697-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALANA",
        "first_name": "SAMUEL",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 60370078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "60370078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.