Active NPI
Sangeeta Sanjay Samudre, R.PH
- Pharmacist
- Williston, ND
National Provider Identifier
1841547510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5436
- Practice address
- 300 11TH St W
Williston, ND 58801-5159 - Phone
- (701) 774-3923
- NPI assigned
- Aug 12, 2012
- 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 | RPH5436 | ND | Primary |
Addresses
Primary practice location
300 11TH St W
Williston, ND 58801-5159
Mailing address
300 11TH St W
Williston, ND 58801-5159
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH5436 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Co of Jamestown Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Thrifty White Pharmacy #046
- Community/Retail Pharmacy
- West Fargo, ND
- NPI 1033208640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344729600000",
"number": "1841547510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 11TH ST W",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588015159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 11TH ST W",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588015159",
"telephone_number": "701-774-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUDRE",
"first_name": "SANGEETA",
"middle_name": "SANJAY",
"name_prefix": "Mrs.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-12",
"last_updated": "2012-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.