Samantha Odem, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

E-13565 Issued in MS

Practice address

19640 Highway 67
Biloxi, MS 39532-8666

Phone

(228) 702-1785

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: samantha.odem.p1@direct.cfhc.nextgenshare.com

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1659915817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032932",
            "telephone_number": "228-313-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19640 HIGHWAY 67",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328666",
            "telephone_number": "228-702-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEM",
        "first_name": "SAMANTHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MS",
            "license": "E-13565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sodem@wmcarey.edu",
            "affiliation": "N",
            "address_1": "19640 Highway 67",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395328666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oceans Behavioral Hospital of Biloxi LLC (Oceans Behavioral Hospital of Biloxi)
• Oceans Mississippi Medical Group LLC
• Ochsner Clinic LLC (Ochsner Specialty Health Center-Cedar Lake)
• Ochsner Mississippi, LLC (Ochsner Health Center - Switzer)
• Ochsner Mississippi, LLC (Ochsner Specialty Health Center - Cedar Lake)
• Shanda Odoms, NP-C
• Eric Andrew Oehms, MS, ATC
• Phyllis D Ogletree, CRNP
• Erin Olafson
• Martha Olan

• Ambulatory Care Pharmacist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Ambulatory Care Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.