Samp RX Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SAMP RX INC.

Doing business as

City Line Pharmacy

Practice address

4704 White Plains Rd
Bronx, NY 10470-1103

Phone

(718) 324-0555

Fax

(718) 324-4574

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Kalpesh Patel

Title

Vice President

Phone

(718) 324-0555

Specialties & licenses 1

Addresses

Other names 1

• City Line Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Samp RX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Samp RX Inc.

  • Pharmacist
  • Bronx, NY
  • NPI 1508479965
  NPD tax ID

Locations

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1861005357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701103",
            "telephone_number": "718-324-0555",
            "fax_number": "718-324-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701103",
            "telephone_number": "718-324-0555",
            "fax_number": "718-324-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMP RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-324-0555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Line Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aisha Samory
• Edwige Adoubia Samou, FNP
• Lea Samouha, PA-C
• Maor Samouha
• Samp RX Inc.
• Mary Susan Sampino, CNM
• Jemimah Sampong
• Dominique Lashae Sampson, LMFT
• Edna Joyce Sams, LMSW
• Samsak Pharmacy Corp

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.