Samantha Kaye Shabla, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22948 Issued in NC

Practice address

3658 S New Hope Rd
Gastonia, NC 28056-8325

Phone

(704) 823-1838

Fax

(704) 823-1838

NPI assigned

Apr 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Southern Pines, NC
  • NPI 1538999107
  NPD (past)
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Gastonia, NC
  • NPI 1558593822
  NPD (past)

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1780940700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568325",
            "telephone_number": "704-823-1838",
            "fax_number": "704-823-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568325",
            "telephone_number": "704-823-1838",
            "fax_number": "704-823-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABLA",
        "first_name": "SAMANTHA",
        "middle_name": "KAYE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056022",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senoj Solutions, LLC
• Laetitia Ifeyinwa Sery, D.D.S.
• Silvia Sevillano
• Kaelyn Nicole Sexton, CNM
• Mouhamadou Seydi, DDS
• Lindsey Shahmoradi, PHARMD
• Jessica Davida Shamberger, DMD
• David Paul Raj Shanmugam
• Hannah Strickland Shannon, PHARMD
• William Bartholomew Shannon, MD

• Pharmacist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.