Sam Enbawe, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

053712 Issued in NY

Practice address

141 Washington Avenue Ext
Albany, NY 12205-5612

Phone

(518) 869-4697

Fax

(518) 869-4699

NPI assigned

Feb 5, 2010

Sex

Male

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

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1619209202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JANET LN",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034207",
            "telephone_number": "518-928-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055612",
            "telephone_number": "518-869-4697",
            "fax_number": "518-869-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENBAWE",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empire State Family Health NP PLLC
• Empire State Physician PLLC
• Empowered State Mental Health Counseling, PLLC
• Hala Enbawe, LMSW
• Ramzi Ali Enbawe, PHARM D
• Isabel Encarnacionbrown
• Hannah Rose Enders, FNP-BC
• Jacqueline M Endres, P.T.A.
• Sean M. Endress, LCSW-R
• Cynthia Jean Engel, MS, APRN PMHCNS-BC A

• Pharmacist in Albany, NY
• Providers in Albany, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.