Individual provider Active NPI

Neetu Deshpande Samuel

  • Pharmacist
  • Sachse, TX
National Provider Identifier
1447998174
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40898 Issued in TX
Practice address
5624 State Hwy 78
Sachse, TX 75048
Phone
(469) 443-0424
NPI assigned
May 23, 2022
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
40898TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hansaba LLC CurrentSince Apr 28, 2024 Accepting new patients
Hansaba LLC CurrentSince May 29, 2022 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

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.

Verify at the official NPI Registry.