Individual provider Active NPI

Amrita Stephanie Samaroo, DOCTOR OF PHARMACY

  • Pharmacist
  • Astoria, NY
National Provider Identifier
1790259083
Registry record updated Jan 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064924 Issued in NY
Practice address
2338 30TH Dr
Astoria, NY 11102-3252
Phone
(347) 679-9083
NPI assigned
Jan 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064924 NY Primary

Addresses

Primary practice location

2338 30TH Dr
Astoria, NY 11102-3252

Mailing address

2338 30TH Dr
Astoria, NY 11102-3252

Other practice location 1

4707 Broadway
Astoria, NY 11103-1629
Phone (718) 726-0801

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

LicenseStateTypeSpecialty
064924NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1790259083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 30TH DR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 30TH DR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023252",
            "telephone_number": "347-679-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4707 Broadway",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111031629",
            "country_code": "US",
            "telephone_number": "718-726-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAROO",
        "first_name": "AMRITA",
        "middle_name": "STEPHANIE",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.