Active NPI
Neetu Deshpande Samuel
- Pharmacist
- Sachse, TX
National Provider Identifier
1447998174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40898
- Practice address
- 5624 State Hwy 78
Sachse, TX 75048 - Phone
- (469) 443-0424
- NPI assigned
- May 23, 2022
- Last updated
- May 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40898 | TX | Primary |
Addresses
Primary practice location
5624 State Hwy 78
Sachse, TX 75048
Mailing address
5624 State Hwy 78
Sachse, TX 75048
Phone (469) 443-0424
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40898 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansaba LLC | Current | Accepting new patients | |
| Hansaba LLC | Current | Accepting new patients |
Locations
5624 Highway 78
Sachse, TX 75048
Phone (469) 443-0424
Organizations & group practices 2
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": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1447998174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5624 STATE HWY 78",
"city": "SACHSE",
"state": "TX",
"postal_code": "75048",
"telephone_number": "469-443-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5624 STATE HWY 78",
"city": "SACHSE",
"state": "TX",
"postal_code": "75048",
"telephone_number": "469-443-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "NEETU",
"middle_name": "DESHPANDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40898",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "609 Embercrest Dr",
"city": "Murphy",
"state": "TX",
"country_code": "US",
"postal_code": "750944118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sachse, TX
- Sachse Family Eye Clinic, PLLC
- Sachse Pediatrics PLLC
- Sachse Tiny Teeth, PLLC (Texas Tiny Teeth Pediatric Dentistry and Orthodontics Sachse)
- Sage Minds Counseling
- Letha Meppurathu Samuel
- Sethi Laboratories LLC
- Mahdokht Shams
- Anne Elizabeth Sholden, PHARM.D.
- Alana C Simmons
- Smileeasy Dental Sachse, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.