Samantha Roberts, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.306019 Issued in IL

Practice address

1100 Lejune Dr
Springfield, IL 62703-4537

Phone

(217) 529-6299

NPI assigned

Sep 11, 2024

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

Other names 1

• Samantha Holt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1851127294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 WAGON WHEEL LN",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291539",
            "telephone_number": "404-576-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LEJUNE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034537",
            "telephone_number": "217-529-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SAMANTHA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032248",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.306019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HOLT",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert C Russell M D S C
• Emily C Roberts, MSW
• Hannah Marie Roberts, MD
• Jennifer Roberts, LPN
• Nellie Caroline Roberts, MD
• Sandra Roberts, LCPC
• Leah Catherine Robertson, MA, BCBA
• Marilyn S Robins, ACNP-BC
• Latylia Robinson Washington
• Alisha Robinson, RBT

• Pharmacist in Springfield, IL
• Providers in Springfield, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.