Active NPI
Stephanie Marie Samuelson
- Pharmacist
- Miami, FL
National Provider Identifier
1902296304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PSI 32825
- Practice address
- 11348 SW 156 Place
Miami, FL 33196 - Phone
- (305) 733-7322
- NPI assigned
- Jan 23, 2015
- 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 | PSI 32825 | FL | Primary |
Addresses
Primary practice location
11348 SW 156 Place
Miami, FL 33196
Mailing address
11348 SW 156 PL
Miami, FL 33196
Phone (305) 733-7322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSI 32825 | Other | FL | DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| PSI 32825 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1902296304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11348 SW 156 PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "33196",
"telephone_number": "305-733-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11348 SW 156 PLACE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33196",
"telephone_number": "305-733-7322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELSON",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PSI 32825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "PSI 32825",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.