Active NPI
Loan Sam
- Pharmacist
- Florence, KY
National Provider Identifier
1548687270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014405
- Practice address
- 4990 Houston Rd
Florence, KY 41042-4851 - Phone
- (859) 746-6310
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 014405 | KY | Primary |
| Pharmacist | 183500000X | 03328824 | OH |
Addresses
Primary practice location
4990 Houston Rd
Florence, KY 41042-4851
Mailing address
4990 Houston Rd
Florence, KY 41042-4851
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 |
|---|---|---|---|
| 014405 | KY | MD | Pharmacist |
| 03328824 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1548687270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4990 HOUSTON RD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410424851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4990 HOUSTON RD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410424851",
"telephone_number": "859-746-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "LOAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014405",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03328824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
- Ryan Pomeroy Incorperated (Next Generation Hearing Care)
- Alyson Rochelle Ryan, M.D.
- Julia Marie Ryan, LPCA
- Monirul Islam Sajib, MD
- Courtney Nicole Salmon, RBT
- Sam's Club Optical (Sam's Club Optical 30-8133)
- Samantha Avis Counseling LLC
- Samantha Hornberger (Hornberger Eye Care)
- Sams East Inc (Sams Pharmacy 10-8133)
- Kendell Louise Sander
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.