Active NPI
Samuel Eric White, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Visalia, CA
National Provider Identifier
1902416803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 44564
- Practice address
- 7140 W Pershing CT
Visalia, CA 93291 - Phone
- (559) 734-2896
- NPI assigned
- Aug 5, 2020
- Last updated
- Aug 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44564 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 44564 | CA | Primary |
Addresses
Primary practice location
7140 W Pershing CT
Visalia, CA 93291
Mailing address
7140 W. Pershing CT.
Visalia, CA 93291
Phone (559) 679-1969
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 |
|---|---|---|---|
| 44564 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Care Systems, LLC | Current | Accepting new patients | |
| Ics Home Healthcare, Inc. | Current | Accepting new patients |
Locations
7140 W Pershing Ct
Visalia, CA 93291
Phone (559) 734-2896
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Visalia, CA
- NPI 1578118469
-
dba Integrated Care Systems
- Parenteral & Enteral Nutrition Supplies (DME)
- Visalia, CA
- NPI 1255330403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1902416803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 W. PERSHING CT.",
"city": "VISALIA",
"state": "CA",
"postal_code": "93291",
"telephone_number": "559-679-1969",
"fax_number": "559-734-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 W PERSHING CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "93291",
"telephone_number": "559-734-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SAMUEL",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44564",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "44564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.