Individual provider Active NPI

Samuel Seth Humphreys, PHARMD

  • Pharmacist
  • Newport, TN
National Provider Identifier
1447687967
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37240 Issued in TN
Practice address
Wilson's Sav-Mor Drugs
265 E Main Street
Newport, TN 37821-3126
Phone
(423) 623-3456
Fax
(423) 623-3049
NPI assigned
Sep 29, 2013
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37240 TN Primary

Addresses

Primary practice location

Wilson's Sav-Mor Drugs
265 E Main Street
Newport, TN 37821-3126

Mailing address

265 E Main St
Newport, TN 37821-3126
Phone (423) 623-3456

Other identifiers 1

IdentifierTypeStateIssuer
14970948OtherTNCAQH

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
37240TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Apothecary LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1447687967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MAIN ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213126",
            "telephone_number": "423-623-3456",
            "fax_number": "423-623-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILSON'S SAV-MOR DRUGS",
            "address_2": "265 E MAIN STREET",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213126",
            "telephone_number": "423-623-3456",
            "fax_number": "423-623-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "SAMUEL",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-29",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "37240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14970948",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.