Active NPI
Anthony Elias Samaan, PHARM.D
- Pharmacist
- Lexington, KY
National Provider Identifier
1720361769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011838
- Practice address
- 1041 Fontaine Rd
Lexington, KY 40502-1868 - Phone
- (859) 553-3844
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 0011838 | KY | Primary |
Addresses
Primary practice location
1041 Fontaine Rd
Lexington, KY 40502-1868
Mailing address
1041 Fontaine Rd
Lexington, KY 40502-1868
Phone (859) 744-1377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011838 | Other | KY | 0011838, KY PHARMACY LISCENCE # |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011838 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1720361769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 FONTAINE RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021868",
"telephone_number": "859-744-1377",
"fax_number": "859-745-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 FONTAINE RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021868",
"telephone_number": "859-553-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAAN",
"first_name": "ANTHONY",
"middle_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "0011838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0011838, KY PHARMACY LISCENCE #",
"identifier": "0011838",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Amy Lynn Salyer, APRN
- Alexandra Salyers, PA
- Joshua Michael Salyers, DO
- Shaneka Sam
- Sam's Club Optical (Sam's Club Optical 30-8188)
- Dealla Samadi
- Syeda Sana Samar, MD
- Samaritan Alliance L.L.C. (Samaritan Hospital)
- Samaritan Reliant Geriatric Services, LLC (Samaritan Senior Care)
- Luis Mario Samayoa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.