Active NPI
Marena Samer
- Pharmacist
- Hendersonville, TN
National Provider Identifier
1861162356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45079
- Practice address
- 110 Indian Lake Blvd
Hendersonville, TN 37075-6206 - Phone
- (615) 264-1350
- NPI assigned
- Sep 15, 2021
- Last updated
- Sep 15, 2021
- 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 | 45079 | TN | Primary |
Addresses
Primary practice location
110 Indian Lake Blvd
Hendersonville, TN 37075-6206
Mailing address
105 Yvonne CT
Goodlettsville, TN 37072-3151
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45079 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith & Healing Pharmacy | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Mount Juliet, TN
- NPI 1538962659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1861162356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 YVONNE CT",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 INDIAN LAKE BLVD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370756206",
"telephone_number": "615-264-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMER",
"first_name": "MARENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.