Mariah Elizabeth Samberg, PHARMD, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03131762 Issued in OH

Practice address

2111 E Wooster St
Bowling Green, OH 43402-9083

Phone

(419) 373-8610

Fax

(419) 373-8665

NPI assigned

Dec 28, 2013

Last updated

Dec 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1388188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388188800000",
    "number": "1902227531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 NORA DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511475",
            "telephone_number": "419-356-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029083",
            "telephone_number": "419-373-8610",
            "fax_number": "419-373-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBERG",
        "first_name": "MARIAH",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD, R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-28",
        "last_updated": "2013-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03131762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2013; 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.