Active NPI
Harriette Sama
- Pharmacist
- Northlake, TX
National Provider Identifier
1700664125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58811
- Practice address
- 4100 Dale Earnhardt Way Ste 200
Northlake, TX 76262-2389 - Phone
- (573) 979-6605
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 58811 | TX | Primary |
Addresses
Primary practice location
4100 Dale Earnhardt Way Ste 200
Northlake, TX 76262-2389
Mailing address
7621 Lumberjack LN
Fort Worth, TX 76120-1764
Phone (940) 337-2892
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 |
|---|---|---|---|
| 58811 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1700664125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7621 LUMBERJACK LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761201764",
"telephone_number": "940-337-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 DALE EARNHARDT WAY STE 200",
"city": "NORTHLAKE",
"state": "TX",
"postal_code": "762622389",
"telephone_number": "573-979-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMA",
"first_name": "HARRIETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.