Individual provider Active NPI

Samer Mohamad Hamide, PHARMACY DOCTORATE

  • Pharmacist
  • Houma, LA
National Provider Identifier
1932538337
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020361 Issued in LA
Practice address
1420 Saint Charles St
Houma, LA 70360-3935
Phone
(985) 580-9990
Fax
(985) 520-0323
NPI assigned
Nov 6, 2013
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X T-15539 MS
Pharmacist 183500000X 020361 LA Primary

Addresses

Primary practice location

1420 Saint Charles St
Houma, LA 70360-3935

Mailing address

2420 Minnesota Ave
Metairie, LA 70003-5428
Phone (504) 296-4510

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

LicenseStateTypeSpecialty
020361LAMDPharmacist
T-15539MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana CVS Pharmacy LLC PastSince Nov 15, 2020 Accepting new patients
Louisiana CVS Pharmacy LLC PastSince Nov 15, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1932538337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 MINNESOTA AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700035428",
            "telephone_number": "504-296-4510",
            "fax_number": "206-339-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SAINT CHARLES ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603935",
            "telephone_number": "985-580-9990",
            "fax_number": "985-520-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDE",
        "first_name": "SAMER",
        "middle_name": "MOHAMAD",
        "credential": "PHARMACY DOCTORATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-15539",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "020361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.