Active NPI
Andrew Menh Sam, PHARMD
- Oncology Pharmacist
- La Jolla, CA
National Provider Identifier
1831699297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 76613
- Practice address
- 3855 Health Sciences Dr
La Jolla, CA 92093-1503 - Phone
- (626) 679-2812
- NPI assigned
- Feb 12, 2018
- Last updated
- Feb 12, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 76613 | CA | Primary |
Addresses
Primary practice location
3855 Health Sciences Dr
La Jolla, CA 92093-1503
Mailing address
8949 Lombard Place
409
San Diego, CA 92122
Phone (626) 679-2812
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 |
|---|---|---|---|
| 76613 | CA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1831699297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8949 LOMBARD PLACE",
"address_2": "409",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92122",
"telephone_number": "626-679-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 HEALTH SCIENCES DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920931503",
"telephone_number": "626-679-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "ANDREW",
"middle_name": "MENH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-12",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "76613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.