Samah Soboh, PHD

Primary specialty

PharmacistTaxonomy code 183500000X

License

006244 Issued in PR

Practice address

Carr 863 KM 6
Bo Pajaros Candelaria
Toa Baja, PR 00949

Phone

(787) 620-9611

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1528624327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE MADRID",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006928700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 863 KM 6",
            "address_2": "BO PAJAROS CANDELARIA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-620-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOH",
        "first_name": "SAMAH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "006244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY BOARD LICENCE",
            "identifier": "006244",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ph_samah1984@hotmail.com",
            "affiliation": "N",
            "address_1": "Carr. 863 Km. 6",
            "address_2": "Bo. Pajaros Candelaria",
            "city": "TOA BAJA",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.