Samsak Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

034349 Issued in NY

Legal business name

SAMSAK PHARMACY CORP

Doing business as

wellcare pharmacy

Practice address

906 E 180TH St
Bronx, NY 10460-1916

Phone

(718) 450-8759

Fax

(718) 450-8890

NPI assigned

Dec 18, 2015

Last updated

Aug 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rohit Sakaria

Title

Pharmacist

Phone

(718) 450-8759

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• wellcare pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Farfa Pharmacy Corp

  dba East 174 St Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1154568509

  Member Of

  NPD member

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1669837563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601916",
            "telephone_number": "718-450-8759",
            "fax_number": "718-450-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601916",
            "telephone_number": "718-450-8759",
            "fax_number": "718-450-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSAK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SAKARIA",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-450-8759"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "034349",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wellcare pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samp RX Inc. (City Line Pharmacy)
• Mary Susan Sampino, CNM
• Jemimah Sampong
• Dominique Lashae Sampson, LMFT
• Edna Joyce Sams, LMSW
• Mary Jane Garcia Samson
• Ruth Tadesse Samson, MD
• John Samuel, PA
• Joice Samuel, M.D.
• Jordan Samuel, DPT

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.