Active NPI
Samuel Su, PHARMD
- Pharmacist
- Germantown, MD
National Provider Identifier
1508221508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23428
- Practice address
- 18331 Leaman Farm Rd
Germantown, MD 20874-2904 - Phone
- (301) 528-2764
- NPI assigned
- Dec 18, 2015
- Last updated
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 23428 | MD | Primary |
Addresses
Primary practice location
18331 Leaman Farm Rd
Germantown, MD 20874-2904
Mailing address
18331 Leaman Farm Rd
Germantown, MD 20874-2904
Phone (301) 528-2764
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23428 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Giant Pharmacy 313
- Community/Retail Pharmacy
- Germantown, MD
- NPI 1225063282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1508221508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18331 LEAMAN FARM RD",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742904",
"telephone_number": "301-528-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18331 LEAMAN FARM RD",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742904",
"telephone_number": "301-528-2764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-18",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
- Joan Strawson, MAC, LAC
- Eva Street
- Megan A Stroh, P.A.
- Tracie Strucker, LCMFT
- Cynthia Wilhide Styles, LCPC
- Suburban/NRH Medical Rehabilitation, Inc. (MedStar Health Physical Therapy at Germantown)
- Sugarloaf Counseling & Psychotherapy Associates (Michael L. Abrahams LCSW-C)
- Tommy Suh, PHARMD
- Mark Sullivan
- Summit Ambulatory Surgical Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.