Active NPI
Samoela XH Papa, PHARM.D.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1881174753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP452370
- Practice address
- 12311 Academy Rd
Philadelphia, PA 19154-1927 - Phone
- (215) 637-4690
- Fax
- (215) 637-6121
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | RP452370 | PA | Primary |
Addresses
Primary practice location
12311 Academy Rd
Philadelphia, PA 19154-1927
Mailing address
3220 Knorr St
Philadelphia, PA 19149-2613
Phone (215) 531-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP452370 | Other | PA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| RP452370 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1932298684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1881174753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 KNORR ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492613",
"telephone_number": "215-531-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12311 ACADEMY RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191541927",
"telephone_number": "215-637-4690",
"fax_number": "215-637-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPA",
"first_name": "SAMOELA",
"middle_name": "XH",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP452370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP452370",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.