Sheeba George Samuel

Primary specialty

PharmacistTaxonomy code 183500000X

License

049402 Issued in NY

Practice address

346 Route 25a Ste 102
Rocky Point, NY 11778-8425

Phone

(631) 744-4300

Fax

(631) 744-3893

NPI assigned

Nov 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Rocky Point, NY
  • NPI 1801310834
  NPD
• Genovese Drug Stores Inc

  • Community/Retail Pharmacy
  • Plainview, NY
  • NPI 1700985967
  NPD (past)
• Genovese Drug Stores Inc

  • Community/Retail Pharmacy
  • Waldwick, NJ
  • NPI 1477652691
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1770764664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BEATRICE AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914006",
            "telephone_number": "917-805-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ROUTE 25A STE 102",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788425",
            "telephone_number": "631-744-4300",
            "fax_number": "631-744-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "SHEEBA",
        "middle_name": "GEORGE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00721884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Rothstein, MD
• Jeffrey C Rubenstein, MD
• Christine M Ruggiero, M.D.
• Denise Ruisi
• Leslie Ryan, MS.ED
• Stephanie Sanford
• Michelle D. Santiago, MHC
• Kris J Sauer, MD
• Sandy M Schachner, MD
• Nancy J Schein, CRNA

• Pharmacist in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.