Samantha Michelle Ehresman, PHARMD
Individual provider Active NPI Pharmacist · Nevada, MO
NPI 1740955541 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1740955541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2021032471 (MO)
- Practice address
- 105 S Oak St
Nevada, MO 64772-3436 - Phone
- (417) 667-7802
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021032471 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2021032471 | MO | Yes |
Addresses
Primary practice location
105 S Oak St
Nevada, MO 64772-3436
Mailing address
13006 W 116TH St
Overland Park, KS 66210-3523
Phone (913) 742-0263
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sehresman@auburnpharmacies.com | Direct |
Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.