Active NPI
Melissa Ann Samons
- Pharmacist
- Martin, KY
National Provider Identifier
1770620387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9820
- Practice address
- 90 Triangle Street
Martin, KY 41649-1296 - Phone
- (606) 285-0786
- Fax
- (606) 285-0646
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- 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 | 9820 | KY | Primary |
Addresses
Primary practice location
90 Triangle Street
Martin, KY 41649-1296
Mailing address
90 Triangle Street
PO Box 1296
Martin, KY 41649-1296
Phone (606) 285-0786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9820 | Other | KY | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 9820 | KY | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Martin, KY
- NPI 1154479160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770620387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 TRIANGLE STREET",
"address_2": "PO BOX 1296",
"city": "MARTIN",
"state": "KY",
"postal_code": "416491296",
"telephone_number": "606-285-0786",
"fax_number": "606-285-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 TRIANGLE STREET",
"city": "MARTIN",
"state": "KY",
"postal_code": "416491296",
"telephone_number": "606-285-0786",
"fax_number": "606-285-0646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMONS",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "9820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "9820",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martin, KY
- Saint Joseph Health System Inc (Mountain View Clinic)
- Saint Joseph Health System Inc
- Saint Joseph Health System Inc (Seton Family Health Center)
- Saint Joseph Health System Inc (Martin Clinic)
- Richard Salisbury, OD
- Ira Bonita Slone, BA
- Joshua Slone, BA
- William H. Smith-Mensah, M.D.
- Stephanie Janae Smith, PTA
- Jessica Ann Thornsbury, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.