Active NPI
Samantha Jo White, PHARMD
- Pharmacist
- La Crosse, WI
National Provider Identifier
1790400505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16675-40
- Practice address
- 1900 South Ave
La Crosse, WI 54601-5467 - Phone
- (800) 362-9567
- NPI assigned
- Oct 5, 2022
- 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 | 16675-40 | WI | Primary |
Addresses
Primary practice location
1900 South Ave
La Crosse, WI 54601-5467
Mailing address
2510 Cass St
La Crosse, WI 54601-4313
Phone (920) 407-2023
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16675-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1790400505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 CASS ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014313",
"telephone_number": "920-407-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015467",
"telephone_number": "800-362-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16675-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.