Active NPI
Suja Samuel
- Pharmacist
- Weston, FL
National Provider Identifier
1497121206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS39006
- Practice address
- 2154 Hacienda Ter
Weston, FL 33327-2237 - Phone
- (954) 918-4300
- NPI assigned
- Aug 15, 2015
- 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 | PS39006 | FL | Primary |
Addresses
Primary practice location
2154 Hacienda Ter
Weston, FL 33327-2237
Mailing address
2154 Hacienda Ter
Weston, FL 33327-2237
Phone (954) 918-4300
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 |
|---|---|---|---|
| PS39006 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439596800000",
"number": "1497121206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2154 HACIENDA TER",
"city": "WESTON",
"state": "FL",
"postal_code": "333272237",
"telephone_number": "954-918-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2154 HACIENDA TER",
"city": "WESTON",
"state": "FL",
"postal_code": "333272237",
"telephone_number": "954-918-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "SUJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-15",
"last_updated": "2015-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS39006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.