Samantha Shoop

Primary specialty

PharmacistTaxonomy code 183500000X

License

118017 Issued in MN

Practice address

911 Northland Dr
Princeton, MN 55371-2172

Phone

(763) 389-1313

NPI assigned

Dec 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Richard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1891978920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30944 101ST ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NORTHLAND DR",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712172",
            "telephone_number": "763-389-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOP",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "RICHARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seasons Midwifery Inc
• Andrew Setrum, AU.D.
• Cassandra Marie Shallenberger, RD, LD
• Nicole Sherven, PHARM D
• Juliann Hazelrigg Shobe, MS, RD, LD
• Shopko Stores Operating Co LLC
• Shirley Singh
• Stephen George Snell, DDS
• Soaring Eagles Transportation, Inc.
• Daniel William Solbrack, O.D.

• Pharmacist in Princeton, MN
• Providers in Princeton, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.