Samantha M Cordola, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS59639 Issued in FL

Practice address

5473 NW Saint James Dr
Port St Lucie, FL 34983-3444

Phone

(772) 878-1526

NPI assigned

Sep 16, 2019

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  dba Cvs Pharmacy #17915

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  dba CVS Pharmacy #03689

  • Pharmacy
  • Fort Pierce, FL
  • NPI 1194829010
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #0819

  • Community/Retail Pharmacy
  • Port St Lucie, FL
  • NPI 1396785770
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1588214142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833444",
            "telephone_number": "772-878-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOLA",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Reef Counseling and Trauma Therapy PLLC
• Coral Reef Dermatology LLC
• Coral Way Medical Center Inc
• Lynett Cordero Mitjans, RBT
• Jennifer M Cordero, PTA
• Lynette Coreano
• Valerie Coriolan, LPN
• Roger N Coron, MD
• Dagnis Coronado Sanchez, RBT
• Angelica Manzolillo Correa, FNP-C

• Pharmacist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.